Florida Health Care Llc | |
929 N Us Hwy 441 Ste 102 Lady Lake FL 32159-3002 | |
(352) 350-2474 | |
(352) 350-2471 |
Full Name | Florida Health Care Llc |
---|---|
Speciality | Internal Medicine |
Location | 929 N Us Hwy 441, Lady Lake, Florida |
Authorized Official Name and Position | Sm Hazanuz Zaman (OWNER) |
Authorized Official Contact | 3523502474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Florida Health Care Llc Po Box 1867 Ocala FL 34478-1867 Ph: (352) 350-2474 | Florida Health Care Llc 929 N Us Hwy 441 Ste 102 Lady Lake FL 32159-3002 Ph: (352) 350-2474 |
NPI Number | 1952848913 |
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Provider Enumeration Date | 01/27/2017 |
Last Update Date | 10/22/2024 |
Medicare PECOS PAC ID | 1456638956 |
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Medicare Enrollment ID | O20170511000384 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952848913 | NPI | - | NPPES |
020846000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Kamalakar Amaravadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417149873 PECOS PAC ID: 7416044243 Enrollment ID: I20071026000074 |
Provider Name | Marisela Dominguez |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205949104 PECOS PAC ID: 1850459231 Enrollment ID: I20081029000571 |
Provider Name | Sm Hasanuz Zaman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1467579219 PECOS PAC ID: 8325188121 Enrollment ID: I20091229000177 |
Provider Name | Kirsten F Rowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023349677 PECOS PAC ID: 0840335477 Enrollment ID: I20100306000034 |
Provider Name | Panthipa Laowansiri |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1801057724 PECOS PAC ID: 6709041056 Enrollment ID: I20120711000548 |
Provider Name | Jennifer M Waddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598992646 PECOS PAC ID: 8022265529 Enrollment ID: I20120905000348 |
Provider Name | Davoni N Francis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376981720 PECOS PAC ID: 1759523301 Enrollment ID: I20130809000458 |
Provider Name | Pilar Cecilia Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437495215 PECOS PAC ID: 3072742477 Enrollment ID: I20140205001392 |
Provider Name | Maria A Crystal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962752238 PECOS PAC ID: 8426288028 Enrollment ID: I20140227000439 |
Provider Name | Negia E Lalane Del Castillo |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1801160122 PECOS PAC ID: 1052530078 Enrollment ID: I20140923002559 |
Provider Name | Marion M Capahi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497021471 PECOS PAC ID: 9537475843 Enrollment ID: I20150901003059 |
Provider Name | Ariane E Donate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679726483 PECOS PAC ID: 5991001208 Enrollment ID: I20160609000864 |
Provider Name | Kimberley Kay Drury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063785178 PECOS PAC ID: 3577831387 Enrollment ID: I20170620002963 |
Provider Name | Dianne E Doane-bustetter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790218501 PECOS PAC ID: 6204105976 Enrollment ID: I20170712001265 |
Provider Name | James C Mellone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730591942 PECOS PAC ID: 7315218898 Enrollment ID: I20170801003281 |
Provider Name | John D Abernathy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265847438 PECOS PAC ID: 5890066146 Enrollment ID: I20170803003253 |
Provider Name | Joana Vicente Vargas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003221938 PECOS PAC ID: 1355613225 Enrollment ID: I20170828002531 |
Provider Name | Jaclyn B Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891217154 PECOS PAC ID: 5698021319 Enrollment ID: I20180710002342 |
Provider Name | Srinivas Raju Dantuluri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881089472 PECOS PAC ID: 2668789900 Enrollment ID: I20180831001152 |
Provider Name | Richard J Edwards |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700270675 PECOS PAC ID: 8729396908 Enrollment ID: I20180927001932 |
Provider Name | Nelson Mane |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568520971 PECOS PAC ID: 1658615257 Enrollment ID: I20181210000807 |
Provider Name | Eduardo L Trejo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932554631 PECOS PAC ID: 0143555177 Enrollment ID: I20190715000315 |
Provider Name | Rajalakshmi Arunachalam |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033641436 PECOS PAC ID: 9830512599 Enrollment ID: I20200714001005 |
Provider Name | Tina M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700375193 PECOS PAC ID: 8325467541 Enrollment ID: I20201007001264 |
Provider Name | Runali T Talati |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144822701 PECOS PAC ID: 8921413683 Enrollment ID: I20210211000639 |
Provider Name | Victoria L Jacoby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124417142 PECOS PAC ID: 5193035236 Enrollment ID: I20210615001076 |
Provider Name | David Michael |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902338890 PECOS PAC ID: 9830504596 Enrollment ID: I20210708002449 |
Provider Name | Jennifer Rae Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720653108 PECOS PAC ID: 5294139135 Enrollment ID: I20210813002179 |
Provider Name | Shaza Khalid |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1457702466 PECOS PAC ID: 1254625700 Enrollment ID: I20210823003044 |
Provider Name | Marwah Abduljabbar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205330032 PECOS PAC ID: 9032515291 Enrollment ID: I20210914000537 |
Provider Name | Marshall H Darby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396330031 PECOS PAC ID: 7315023611 Enrollment ID: I20210928002295 |
Provider Name | Andrea A Varraux |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376960047 PECOS PAC ID: 3779868138 Enrollment ID: I20210928003339 |
Provider Name | Matthew V Tavares |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174018014 PECOS PAC ID: 3678975836 Enrollment ID: I20220609001590 |
Provider Name | Marie A Popp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679223853 PECOS PAC ID: 2466831391 Enrollment ID: I20220622003267 |
Provider Name | Omar W Mohamed Elfeky |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760943583 PECOS PAC ID: 7315328424 Enrollment ID: I20220721000267 |
Provider Name | Aby V Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730811696 PECOS PAC ID: 2769863737 Enrollment ID: I20220721003033 |
Provider Name | Viral Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922566678 PECOS PAC ID: 2365775095 Enrollment ID: I20220829002876 |
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