| Family Practice Center Of Brandon Llc | |
|
814 Vittorio Pl Brandon FL 33511-6659 | |
| (813) 681-6064 | |
| (813) 653-4132 |
| Full Name | Family Practice Center Of Brandon Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 814 Vittorio Pl, Brandon, Florida |
| Authorized Official Name and Position | Miguel Mazariegos (PHYSICIAN) |
| Authorized Official Contact | 8136816064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center Of Brandon Llc 814 Vittorio Pl Brandon FL 33511-6659 Ph: (813) 681-6064 | Family Practice Center Of Brandon Llc 814 Vittorio Pl Brandon FL 33511-6659 Ph: (813) 681-6064 |
| NPI Number | 1487962619 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 2365613759 |
|---|---|
| Medicare Enrollment ID | O20110914000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487962619 | NPI | - | NPPES |
| 378959400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0069553 (Florida) | Primary |
| Provider Name | Miguel Mazariegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255325361 PECOS PAC ID: 3274704663 Enrollment ID: I20110914000844 |
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 |