| Family Medical Group Of Tampa Inc | |
|
8011 N Himes Ave Ste 4 Tampa FL 33614-2700 | |
| (813) 488-1414 | |
| (813) 488-1413 |
| Full Name | Family Medical Group Of Tampa Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8011 N Himes Ave Ste 4, Tampa, Florida |
| Authorized Official Name and Position | Juan Perez (OWNER) |
| Authorized Official Contact | 8134881414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Group Of Tampa Inc 8011 N Himes Ave Ste 4 Tampa FL 33614-2700 Ph: (813) 488-1414 | Family Medical Group Of Tampa Inc 8011 N Himes Ave Ste 4 Tampa FL 33614-2700 Ph: (813) 488-1414 |
| NPI Number | 1073002218 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 8123363272 |
|---|---|
| Medicare Enrollment ID | O20181219000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073002218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Pier D Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538135132 PECOS PAC ID: 5698790772 Enrollment ID: I20051007000390 |
| Provider Name | Ana A Bucarelli |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700808201 PECOS PAC ID: 9436170867 Enrollment ID: I20170908002537 |
| Provider Name | Odalis Garcia Paneque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306519681 PECOS PAC ID: 1355738360 Enrollment ID: I20220421001310 |
| Provider Name | Silvia Maria Pires Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982354833 PECOS PAC ID: 4183005770 Enrollment ID: I20220713002658 |
| Provider Name | Rugile Ramoskaite |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982285128 PECOS PAC ID: 0749681666 Enrollment ID: I20231210000076 |
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