| Cornerstone Medical Care Of Brandon Llc | |
|
500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964 | |
| (813) 681-5658 | |
| (813) 681-5250 |
| Full Name | Cornerstone Medical Care Of Brandon Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Vonderburg Dr, Brandon, Florida |
| Authorized Official Name and Position | Julio A Enriquez (MANAGING MEMBER) |
| Authorized Official Contact | 8136815658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Care Of Brandon Llc 500 Vonderburg Dr Ste 102 Brandon FL 33511-5968 Ph: (813) 681-5658 | Cornerstone Medical Care Of Brandon Llc 500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964 Ph: (813) 681-5658 |
| NPI Number | 1124038989 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 0345233409 |
|---|---|
| Medicare Enrollment ID | O20040405001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124038989 | NPI | - | NPPES |
| 267292800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dean A Bramlet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164536488 PECOS PAC ID: 5597758961 Enrollment ID: I20040403000275 |
| Provider Name | Julio A Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497765267 PECOS PAC ID: 4688667744 Enrollment ID: I20050914000888 |
| Provider Name | Melissa M Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881783942 PECOS PAC ID: 0143228122 Enrollment ID: I20061130000058 |
| Provider Name | Pedro Manuel Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699798652 PECOS PAC ID: 2668574690 Enrollment ID: I20070222000339 |
| Provider Name | Felicia A Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326155573 PECOS PAC ID: 8022115385 Enrollment ID: I20070521000554 |
| Provider Name | Manuel A Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952487688 PECOS PAC ID: 2961560164 Enrollment ID: I20081016000247 |
| Provider Name | Antonio Victor Zumpano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538179395 PECOS PAC ID: 8325031487 Enrollment ID: I20100927000070 |
| Provider Name | Shawna King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740599 PECOS PAC ID: 3375834567 Enrollment ID: I20160617001590 |
| Provider Name | Cathy Sue Eaton-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831226414 PECOS PAC ID: 0042273948 Enrollment ID: I20180710000687 |
| Provider Name | Nordal Gonzalez Valera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407383474 PECOS PAC ID: 1850712399 Enrollment ID: I20200609001004 |
| Provider Name | Danielle Nicole Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932507720 PECOS PAC ID: 0840514931 Enrollment ID: I20210514001143 |
| Provider Name | Lesly Wester Cuza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400207 PECOS PAC ID: 3072909118 Enrollment ID: I20220330000074 |
| Provider Name | Yosbel Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497381321 PECOS PAC ID: 9133545569 Enrollment ID: I20230818003207 |
Verimed Health Group Brandon, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Vonderburg Dr Ste 310, Brandon, FL 33511 Phone: 813-324-9463 Fax: 813-502-6385 | |
Medi Brandon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-654-1110 | |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 | |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 | |
Florida Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 | |
Care Plus Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519a E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-4100 | |
Imad Al-nakshabendi M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 S Kings Ave, Brandon, FL 33511 Phone: 813-972-3750 Fax: 813-972-3749 |