| Florida Hospital Wauchula | |
|
524 Carlton St Wauchula FL 33873-3408 | |
| (863) 402-3366 | |
| (863) 402-3110 |
| Full Name | Florida Hospital Wauchula |
|---|---|
| Speciality | Family Medicine |
| Location | 524 Carlton St, Wauchula, Florida |
| Authorized Official Name and Position | Nathan Thomason (CFO) |
| Authorized Official Contact | 8634023366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Hospital Wauchula 4200 Sun N Lake Blvd Sebring FL 33872-1986 Ph: (863) 402-3366 | Florida Hospital Wauchula 524 Carlton St Wauchula FL 33873-3408 Ph: (863) 402-3366 |
| NPI Number | 1578725941 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 0749232445 |
|---|---|
| Medicare Enrollment ID | O20080726000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578725941 | NPI | - | NPPES |
| Provider Name | David J Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922076124 PECOS PAC ID: 6608773536 Enrollment ID: I20031218000915 |
| Provider Name | Antonio B Roa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932137957 PECOS PAC ID: 3274513684 Enrollment ID: I20040729000877 |
| Provider Name | Horacio Jorge Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156421 PECOS PAC ID: 0749257475 Enrollment ID: I20040915000869 |
| Provider Name | Donald B Geldart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346293222 PECOS PAC ID: 2961465984 Enrollment ID: I20041110000246 |
| Provider Name | Deo P Sankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952380594 PECOS PAC ID: 0345203477 Enrollment ID: I20041110001082 |
| Provider Name | Rakesh K Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114989134 PECOS PAC ID: 1951366657 Enrollment ID: I20041122000980 |
| Provider Name | Hiren B Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104874395 PECOS PAC ID: 1254362650 Enrollment ID: I20050825000557 |
| Provider Name | Terrence S Delikat |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154326775 PECOS PAC ID: 0446277198 Enrollment ID: I20051102000366 |
| Provider Name | Arleen A Lally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215980172 PECOS PAC ID: 0345254272 Enrollment ID: I20060131000511 |
| Provider Name | Ray H Tangunan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649248345 PECOS PAC ID: 7810908779 Enrollment ID: I20060508000439 |
| Provider Name | Kevin Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700809050 PECOS PAC ID: 8820095490 Enrollment ID: I20061025000328 |
| Provider Name | Omar Cardenas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093763690 PECOS PAC ID: 7517060338 Enrollment ID: I20070316000055 |
| Provider Name | Kathy H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20070327000489 |
| Provider Name | Cesar R Gamero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932132180 PECOS PAC ID: 0042315525 Enrollment ID: I20070411000187 |
| Provider Name | Khizzar Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215972161 PECOS PAC ID: 6709787690 Enrollment ID: I20070505000107 |
| Provider Name | Syed Irfan Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801905898 PECOS PAC ID: 7810093622 Enrollment ID: I20070510000230 |
| Provider Name | William Rush Cook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699700930 PECOS PAC ID: 8820199987 Enrollment ID: I20070719000765 |
| Provider Name | Jose Nieto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225190002 PECOS PAC ID: 2365498664 Enrollment ID: I20070924000168 |
| Provider Name | Kelly K Jago |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558331587 PECOS PAC ID: 0345337341 Enrollment ID: I20071205000401 |
| Provider Name | Philip W Wong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306800727 PECOS PAC ID: 9638102916 Enrollment ID: I20071208000011 |
| Provider Name | Guinevere Johnson Bullard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417926965 PECOS PAC ID: 8426133430 Enrollment ID: I20080313000672 |
| Provider Name | Kevin Sherin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215953641 PECOS PAC ID: 9537248547 Enrollment ID: I20080528000521 |
| Provider Name | Mark L Glickfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710909833 PECOS PAC ID: 6800895384 Enrollment ID: I20080627000233 |
| Provider Name | Ramon N Torres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184621807 PECOS PAC ID: 6800892167 Enrollment ID: I20090310000577 |
| Provider Name | Matthew Acton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578732772 PECOS PAC ID: 0648337550 Enrollment ID: I20090320000187 |
| Provider Name | Milton Fitzgerald Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275695306 PECOS PAC ID: 3971547134 Enrollment ID: I20091211000175 |
| Provider Name | Rachel Komala Moodey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124231774 PECOS PAC ID: 6800930785 Enrollment ID: I20100216000160 |
| Provider Name | Rebecca L Bowden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982671624 PECOS PAC ID: 4284769738 Enrollment ID: I20100323000187 |
| Provider Name | Salman Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174709968 PECOS PAC ID: 7214083294 Enrollment ID: I20110520000261 |
| Provider Name | Ronniel Mercado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013240035 PECOS PAC ID: 3274711189 Enrollment ID: I20110623000714 |
| Provider Name | Belinda B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386891760 PECOS PAC ID: 6002085511 Enrollment ID: I20110817000538 |
| Provider Name | Cynthia L Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700169505 PECOS PAC ID: 5496927352 Enrollment ID: I20111019000144 |
| Provider Name | Cruz A Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275506727 PECOS PAC ID: 7618938689 Enrollment ID: I20111205000487 |
| Provider Name | Vandy N Mayworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215203047 PECOS PAC ID: 9335300409 Enrollment ID: I20120417000428 |
| Provider Name | Cho Mya Mon Win |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376653881 PECOS PAC ID: 7719983626 Enrollment ID: I20120626000210 |
| Provider Name | Juan Pablo Loor-tuarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184854069 PECOS PAC ID: 4981850633 Enrollment ID: I20120810000772 |
| Provider Name | Niki F Hector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346471828 PECOS PAC ID: 5294984597 Enrollment ID: I20121002000206 |
| Provider Name | Gregory A Dawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235336819 PECOS PAC ID: 5496936643 Enrollment ID: I20121008000013 |
| Provider Name | Tej Kumar K Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710180880 PECOS PAC ID: 4183758238 Enrollment ID: I20121116000376 |
| Provider Name | Syeda Kareem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801027818 PECOS PAC ID: 8729223805 Enrollment ID: I20130320000133 |
| Provider Name | Saif Nazar Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255503033 PECOS PAC ID: 2264600923 Enrollment ID: I20130520000135 |
| Provider Name | Tesha L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124309588 PECOS PAC ID: 1254570955 Enrollment ID: I20130610000187 |
| Provider Name | Leo A Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508175530 PECOS PAC ID: 4880833888 Enrollment ID: I20130624000673 |
| Provider Name | Michele Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20130729000869 |
| Provider Name | Scott E Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255596508 PECOS PAC ID: 9830369677 Enrollment ID: I20130730000631 |
| Provider Name | Adeel H Mikael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114238581 PECOS PAC ID: 8527200203 Enrollment ID: I20130808000420 |
| Provider Name | Deepti C Bhandare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568624427 PECOS PAC ID: 2466694765 Enrollment ID: I20130816000184 |
| Provider Name | Kalpesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093733867 PECOS PAC ID: 8224061726 Enrollment ID: I20131007000879 |
| Provider Name | Raja Ramesh Gummalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952618951 PECOS PAC ID: 1456586635 Enrollment ID: I20131023001707 |
| Provider Name | Adrian Roznowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003081472 PECOS PAC ID: 2961639109 Enrollment ID: I20140703001715 |
| Provider Name | Saima Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851680805 PECOS PAC ID: 9234357476 Enrollment ID: I20140829000197 |
| Provider Name | Gabriel Pantol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679733364 PECOS PAC ID: 5991857005 Enrollment ID: I20141001000602 |
| Provider Name | Carlos M Santos De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912212119 PECOS PAC ID: 6406077445 Enrollment ID: I20141016001277 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20141119000697 |
| Provider Name | Thomas Michael Shimshak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467567941 PECOS PAC ID: 4789660515 Enrollment ID: I20150122001072 |
| Provider Name | Imran Humayun Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
| Provider Name | Renee M Jones-march |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598012627 PECOS PAC ID: 8628397742 Enrollment ID: I20150512000274 |
| Provider Name | Mukesh B Satodiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043331531 PECOS PAC ID: 6002906658 Enrollment ID: I20150518000914 |
| Provider Name | Giselle Ann Alfafara Racho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940692 PECOS PAC ID: 7911213830 Enrollment ID: I20150908001853 |
| Provider Name | Ravikanth Vydyula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942443551 PECOS PAC ID: 6507036498 Enrollment ID: I20151005001498 |
| Provider Name | Sarkis Morales Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811211899 PECOS PAC ID: 4587858592 Enrollment ID: I20151116001594 |
| Provider Name | Fredrick Cadet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093106239 PECOS PAC ID: 0840595781 Enrollment ID: I20160301001997 |
| Provider Name | Safi Uddin Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184849739 PECOS PAC ID: 8527139427 Enrollment ID: I20160415001080 |
| Provider Name | Viviane L Goncalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386572 PECOS PAC ID: 0446558761 Enrollment ID: I20160419002201 |
| Provider Name | Haseeb Shahid Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760605190 PECOS PAC ID: 4385745298 Enrollment ID: I20160525001127 |
| Provider Name | Lindsey Dambly Sperry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700228921 PECOS PAC ID: 6507157369 Enrollment ID: I20160624002053 |
| Provider Name | Alberto J Sabucedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033418512 PECOS PAC ID: 4587956545 Enrollment ID: I20160712001545 |
| Provider Name | Rupinder Kullar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851552210 PECOS PAC ID: 6305004045 Enrollment ID: I20160713000507 |
| Provider Name | Emill Levasseur-sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053745703 PECOS PAC ID: 5698060135 Enrollment ID: I20160823003097 |
| Provider Name | Joanna Kingsley Tavarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346661857 PECOS PAC ID: 7517252968 Enrollment ID: I20160824000466 |
| Provider Name | Khayam Shaukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639117120 PECOS PAC ID: 1456246636 Enrollment ID: I20160914001286 |
| Provider Name | Shahnaz Punjani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902835176 PECOS PAC ID: 8325335268 Enrollment ID: I20160921000908 |
| Provider Name | Daniela Anahita Kloos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427491414 PECOS PAC ID: 6406144617 Enrollment ID: I20161004000584 |
| Provider Name | Azzat Abdulghani Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033344627 PECOS PAC ID: 8729227673 Enrollment ID: I20161117001559 |
| Provider Name | Donnabelle Lucero Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912348103 PECOS PAC ID: 2668616327 Enrollment ID: I20161205000927 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Ronald Salazar Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992065049 PECOS PAC ID: 2961668785 Enrollment ID: I20170123000600 |
| Provider Name | Hassan Jadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104171925 PECOS PAC ID: 4789818501 Enrollment ID: I20170215001575 |
| Provider Name | Paul Saint-fleur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528406725 PECOS PAC ID: 0244551448 Enrollment ID: I20170220001420 |
| Provider Name | Zachary Garner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558679449 PECOS PAC ID: 5991072449 Enrollment ID: I20170605000837 |
| Provider Name | Rey Francisco Arcenas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730407511 PECOS PAC ID: 1153576491 Enrollment ID: I20170613000184 |
| Provider Name | Sharif-uz-zaman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508193715 PECOS PAC ID: 2769630375 Enrollment ID: I20170712003644 |
| Provider Name | Augustas Kavaliauskas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851709737 PECOS PAC ID: 6709156219 Enrollment ID: I20170717001130 |
| Provider Name | Dominyka Bitinaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588072466 PECOS PAC ID: 2264702364 Enrollment ID: I20170724000261 |
| Provider Name | Adam D Beeble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473564 PECOS PAC ID: 5395037162 Enrollment ID: I20170728000459 |
| Provider Name | Zechariah Paolo Martinez Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124569751 PECOS PAC ID: 7214200179 Enrollment ID: I20170829002311 |
| Provider Name | Jesse W Ping |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609286079 PECOS PAC ID: 6002031275 Enrollment ID: I20170908000703 |
| Provider Name | Sylvester Ejiofor Onyishi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952697559 PECOS PAC ID: 8224301536 Enrollment ID: I20170908001067 |
| Provider Name | Miguel Angel Davila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376958504 PECOS PAC ID: 9931472099 Enrollment ID: I20170912001319 |
| Provider Name | Adolph Walter Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053637447 PECOS PAC ID: 8022238781 Enrollment ID: I20171218000653 |
| Provider Name | Shandell Nicole Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912453580 PECOS PAC ID: 2466711940 Enrollment ID: I20180108001841 |
| Provider Name | Michael Dennis Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598778789 PECOS PAC ID: 5092700138 Enrollment ID: I20180109001422 |
| Provider Name | Brittiany E Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999452 PECOS PAC ID: 8628338704 Enrollment ID: I20180209001789 |
| Provider Name | Antony Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104114263 PECOS PAC ID: 3577783026 Enrollment ID: I20180404001181 |
| Provider Name | Cynthia Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529193 PECOS PAC ID: 9032473343 Enrollment ID: I20180512000020 |
| Provider Name | Edline Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906139 PECOS PAC ID: 3173878329 Enrollment ID: I20180612002812 |
| Provider Name | Marikit Pasamba Masigla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376048116 PECOS PAC ID: 6002164894 Enrollment ID: I20180810001408 |
| Provider Name | Kyaw Z Minn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902289127 PECOS PAC ID: 7911298351 Enrollment ID: I20180821000608 |
| Provider Name | Ashish D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779565 PECOS PAC ID: 0648520270 Enrollment ID: I20180831002134 |
| Provider Name | Agnes Sharon Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982015012 PECOS PAC ID: 4981906161 Enrollment ID: I20180907000477 |
| Provider Name | Maria Theresa Mercado Espiritu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710478201 PECOS PAC ID: 1658622105 Enrollment ID: I20180921000857 |
| Provider Name | Samantha Joan Bethel-ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950297 PECOS PAC ID: 6507135290 Enrollment ID: I20181119000751 |
| Provider Name | Santhia Mirtyl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609368950 PECOS PAC ID: 2466796479 Enrollment ID: I20181203000929 |
| Provider Name | Amit K Tandon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881911717 PECOS PAC ID: 4082854195 Enrollment ID: I20181231000066 |
| Provider Name | Abraham Tareq Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172567 PECOS PAC ID: 2961722376 Enrollment ID: I20190103000809 |
| Provider Name | Jeremy J Olloqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346632270 PECOS PAC ID: 2860783289 Enrollment ID: I20190104002093 |
| Provider Name | Ersin Turkcan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508241407 PECOS PAC ID: 3678871761 Enrollment ID: I20190107003312 |
| Provider Name | Maria Antonieta Silva Marquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972979649 PECOS PAC ID: 3476862160 Enrollment ID: I20190118001346 |
| Provider Name | Mounica Banala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746117 PECOS PAC ID: 6608183942 Enrollment ID: I20190201001617 |
| Provider Name | Alexandra Louiselie Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366732414 PECOS PAC ID: 5496972705 Enrollment ID: I20190204001948 |
| Provider Name | Priya Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629369590 PECOS PAC ID: 3577869478 Enrollment ID: I20190219002356 |
| Provider Name | Bindu Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326031303 PECOS PAC ID: 5395717391 Enrollment ID: I20190315001579 |
| Provider Name | Mary Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187591 PECOS PAC ID: 4385908714 Enrollment ID: I20190329001918 |
| Provider Name | Feras Adnan Shalabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932556024 PECOS PAC ID: 5991098766 Enrollment ID: I20190412001949 |
| Provider Name | Irina Moullette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578927687 PECOS PAC ID: 4587997143 Enrollment ID: I20190613001171 |
| Provider Name | Victor Manuel Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609230119 PECOS PAC ID: 2163784414 Enrollment ID: I20190715001502 |
| Provider Name | Shawna R Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609436203 PECOS PAC ID: 6002142684 Enrollment ID: I20190722000376 |
| Provider Name | Waseem J David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197416 PECOS PAC ID: 0345580528 Enrollment ID: I20190802000275 |
| Provider Name | Kemi Falope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114471422 PECOS PAC ID: 3173811122 Enrollment ID: I20190812001008 |
| Provider Name | Tracey Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912369281 PECOS PAC ID: 8123383809 Enrollment ID: I20190820002397 |
| Provider Name | Rameez Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588011852 PECOS PAC ID: 4284928003 Enrollment ID: I20190827000904 |
| Provider Name | Vinay K Katukuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992860597 PECOS PAC ID: 2365490323 Enrollment ID: I20190830000604 |
| Provider Name | Melissa Latoya Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801259536 PECOS PAC ID: 8729319579 Enrollment ID: I20191009003254 |
| Provider Name | Darian Hilton Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487128393 PECOS PAC ID: 8527399831 Enrollment ID: I20191016003327 |
| Provider Name | Kimberly Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457359192 PECOS PAC ID: 9931298395 Enrollment ID: I20191106001961 |
| Provider Name | Amy Elizabeth Debella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092348 PECOS PAC ID: 2466884812 Enrollment ID: I20191122002503 |
| Provider Name | Eyad Rawhi El Far |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285084533 PECOS PAC ID: 7214360460 Enrollment ID: I20191203000459 |
| Provider Name | Meghan Lucille Ardizzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630045 PECOS PAC ID: 8123453792 Enrollment ID: I20200109000848 |
| Provider Name | Alida Pena Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982173845 PECOS PAC ID: 6507292786 Enrollment ID: I20200206001817 |
| Provider Name | Hemlata Reddy Gajjela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417141425 PECOS PAC ID: 2961544994 Enrollment ID: I20200316001913 |
| Provider Name | Stephanie Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696147 PECOS PAC ID: 4183055510 Enrollment ID: I20200519000234 |
| Provider Name | Daniel A Roquiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295041986 PECOS PAC ID: 7214157585 Enrollment ID: I20200602001518 |
| Provider Name | Gloria Beatrice Nakalema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942859285 PECOS PAC ID: 1153744933 Enrollment ID: I20200713001847 |
| Provider Name | Ryan Mitchell Brink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861925521 PECOS PAC ID: 9335563857 Enrollment ID: I20200716003025 |
| Provider Name | Evan J Lindbergh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386173102 PECOS PAC ID: 2466876917 Enrollment ID: I20200716004052 |
| Provider Name | Abdulghani Saadi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558687335 PECOS PAC ID: 0547400624 Enrollment ID: I20200724000524 |
| Provider Name | Adeeb N Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588194633 PECOS PAC ID: 4385060821 Enrollment ID: I20200814001509 |
| Provider Name | Nhora Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546460 PECOS PAC ID: 3476979824 Enrollment ID: I20200814002135 |
| Provider Name | Irving Enrique Perez Guzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437599255 PECOS PAC ID: 9830515253 Enrollment ID: I20200817001563 |
| Provider Name | Jerry Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629509567 PECOS PAC ID: 8123356722 Enrollment ID: I20200901001654 |
| Provider Name | Devang Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841723939 PECOS PAC ID: 4385062405 Enrollment ID: I20200922000582 |
| Provider Name | John William Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528694882 PECOS PAC ID: 8921427105 Enrollment ID: I20201008000371 |
| Provider Name | Harold Eugene Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026869 PECOS PAC ID: 7113947409 Enrollment ID: I20201111001572 |
| Provider Name | Uma Mahesh Gudur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215903 PECOS PAC ID: 8820400781 Enrollment ID: I20201217000603 |
| Provider Name | Todd E Ignarski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801841663 PECOS PAC ID: 0042111627 Enrollment ID: I20210106002743 |
| Provider Name | Syed Salman Aslam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508826033 PECOS PAC ID: 1153393368 Enrollment ID: I20210108001560 |
| Provider Name | Andrea V Morgan Bedasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982804233 PECOS PAC ID: 3072646199 Enrollment ID: I20210114000413 |
| Provider Name | Chyanne Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508567 PECOS PAC ID: 8527471333 Enrollment ID: I20210114002198 |
| Provider Name | Robin Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467986406 PECOS PAC ID: 6103181920 Enrollment ID: I20210121001034 |
| Provider Name | Diego Kriger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174972012 PECOS PAC ID: 7113251448 Enrollment ID: I20210303002863 |
| Provider Name | Danielle J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609477348 PECOS PAC ID: 9234546805 Enrollment ID: I20210326000314 |
| Provider Name | Riaz Baba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841570173 PECOS PAC ID: 0143448233 Enrollment ID: I20210405001860 |
| Provider Name | Wasim Al Assad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508111642 PECOS PAC ID: 3971734658 Enrollment ID: I20210407000994 |
| Provider Name | Matthew L Mccowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694977 PECOS PAC ID: 9830507037 Enrollment ID: I20210427002045 |
| Provider Name | Zedeena Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528528171 PECOS PAC ID: 1355774050 Enrollment ID: I20210503000358 |
| Provider Name | Peter S Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356755391 PECOS PAC ID: 6709178080 Enrollment ID: I20210514000805 |
| Provider Name | Susan Amanda Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922356989 PECOS PAC ID: 9234380031 Enrollment ID: I20210514001447 |
| Provider Name | Joshua Quan Smit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215421599 PECOS PAC ID: 9638503402 Enrollment ID: I20210528001523 |
| Provider Name | Roseline Cajuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009104 PECOS PAC ID: 0042612533 Enrollment ID: I20210706003517 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20210708002389 |
| Provider Name | Dennis J Finneran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464179 PECOS PAC ID: 0648673160 Enrollment ID: I20210721002947 |
| Provider Name | Eddie Alonzo Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104804293 PECOS PAC ID: 5294710943 Enrollment ID: I20210728001035 |
| Provider Name | Heather Babcock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255828760 PECOS PAC ID: 6608270483 Enrollment ID: I20210802003377 |
| Provider Name | Adam J Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063909422 PECOS PAC ID: 1153725718 Enrollment ID: I20210804003448 |
| Provider Name | Carla Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801392535 PECOS PAC ID: 0244568343 Enrollment ID: I20210809001909 |
| Provider Name | Oliver Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656095 PECOS PAC ID: 9638573751 Enrollment ID: I20210811000814 |
| Provider Name | Armin Kamyab |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043469455 PECOS PAC ID: 5294952024 Enrollment ID: I20210817003181 |
| Provider Name | Karl Albert Kasischke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194188060 PECOS PAC ID: 5698170256 Enrollment ID: I20210819000865 |
| Provider Name | Libia M Pava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548794282 PECOS PAC ID: 1153674510 Enrollment ID: I20210820001157 |
| Provider Name | Alexander D Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575418 PECOS PAC ID: 0143551580 Enrollment ID: I20210907000727 |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20210921001067 |
| Provider Name | Jaime Renee Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831700368 PECOS PAC ID: 7416345186 Enrollment ID: I20211029000148 |
| Provider Name | Brandy Michelle Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312940 PECOS PAC ID: 4789072349 Enrollment ID: I20211101001706 |
| Provider Name | Faizah Syed-ali Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918257 PECOS PAC ID: 3577716406 Enrollment ID: I20211112001664 |
| Provider Name | Dany Ghassan El-hajjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063401057 PECOS PAC ID: 2961465182 Enrollment ID: I20211116002027 |
| Provider Name | Mili Hitesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780171520 PECOS PAC ID: 4587995139 Enrollment ID: I20211118001679 |
| Provider Name | Michael W Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134217045 PECOS PAC ID: 4981604857 Enrollment ID: I20211122002410 |
| Provider Name | Alexis Colter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801286166 PECOS PAC ID: 2163849936 Enrollment ID: I20220103000135 |
| Provider Name | Jared Pieniazek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912295 PECOS PAC ID: 9032446042 Enrollment ID: I20220110002585 |
| Provider Name | Erik James Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902393473 PECOS PAC ID: 9032515549 Enrollment ID: I20220208001189 |
| Provider Name | Walter Mason Jahna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740931302 PECOS PAC ID: 1557755006 Enrollment ID: I20220225001030 |
| Provider Name | Nicholas Mavromates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048660 PECOS PAC ID: 6305198276 Enrollment ID: I20220225001082 |
| Provider Name | Ulrika Brassart Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423154 PECOS PAC ID: 9638563067 Enrollment ID: I20220301002890 |
| Provider Name | Arlene Brewster Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619628674 PECOS PAC ID: 6507250628 Enrollment ID: I20220304002077 |
| Provider Name | Valbona Behaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407011588 PECOS PAC ID: 1254529027 Enrollment ID: I20220407002662 |
| Provider Name | Abirammy Sundaramoorthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922310580 PECOS PAC ID: 7416183983 Enrollment ID: I20220429000959 |
| Provider Name | Alexander Paul Troum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629425533 PECOS PAC ID: 7012244247 Enrollment ID: I20220518000647 |
| Provider Name | Muhammad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972024222 PECOS PAC ID: 8921425778 Enrollment ID: I20220715000021 |
| Provider Name | Gabriella M Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194285619 PECOS PAC ID: 3274860150 Enrollment ID: I20220715001084 |
| Provider Name | Jessica Zulney Navarro Motta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538629555 PECOS PAC ID: 2365823762 Enrollment ID: I20220716000414 |
| Provider Name | Syed Muzzammiluddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255983110 PECOS PAC ID: 5193133072 Enrollment ID: I20220718000427 |
| Provider Name | Elena Carolina Caldeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295397974 PECOS PAC ID: 7911388962 Enrollment ID: I20220721002345 |
| Provider Name | Sumbal Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427618180 PECOS PAC ID: 2961811146 Enrollment ID: I20220725002203 |
| Provider Name | James Vernace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184121063 PECOS PAC ID: 7810225596 Enrollment ID: I20220729000126 |
| Provider Name | Kenson Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180352 PECOS PAC ID: 3173916038 Enrollment ID: I20220730000401 |
| Provider Name | Joseph J Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144882101 PECOS PAC ID: 8123358744 Enrollment ID: I20220801000007 |
| Provider Name | Cherri Anne Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093453466 PECOS PAC ID: 7113309634 Enrollment ID: I20220801000711 |
| Provider Name | Christopher Tangunan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255995585 PECOS PAC ID: 0547643629 Enrollment ID: I20220823001740 |
| Provider Name | Verona Michelle Abella Dacoco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295342301 PECOS PAC ID: 1658755822 Enrollment ID: I20220907002682 |
| Provider Name | Hailey D Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427781988 PECOS PAC ID: 8123403151 Enrollment ID: I20220912002783 |
| Provider Name | Rebecca Ann Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861128803 PECOS PAC ID: 1355717554 Enrollment ID: I20221012003441 |
| Provider Name | Amir Mohammed Bhuiyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447719216 PECOS PAC ID: 8224404967 Enrollment ID: I20221020000723 |
| Provider Name | Ling Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205582806 PECOS PAC ID: 4082080783 Enrollment ID: I20221020003451 |
| Provider Name | Ahmed Ali Alhassani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376163733 PECOS PAC ID: 6103293220 Enrollment ID: I20221102002699 |
| Provider Name | Brittany Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568170322 PECOS PAC ID: 8729457247 Enrollment ID: I20221206000042 |
| Provider Name | Chad Kelly Brands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831177146 PECOS PAC ID: 2961541321 Enrollment ID: I20221212003124 |
| Provider Name | Joanna Partyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396401261 PECOS PAC ID: 5698145639 Enrollment ID: I20230109000055 |
| Provider Name | Lance Lorraine Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295474633 PECOS PAC ID: 9234500778 Enrollment ID: I20230120001457 |
| Provider Name | Kelsey Reis Metzmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831845973 PECOS PAC ID: 0840661989 Enrollment ID: I20230127000496 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174085740 PECOS PAC ID: 1951636547 Enrollment ID: I20230209000534 |
| Provider Name | Stephanie Mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578144457 PECOS PAC ID: 4688046782 Enrollment ID: I20230220001140 |
| Provider Name | Farah Lazarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699264663 PECOS PAC ID: 0446501332 Enrollment ID: I20230223001420 |
| Provider Name | Shayan Faiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790305308 PECOS PAC ID: 4082074943 Enrollment ID: I20230724003490 |
| Provider Name | Hossein Tohidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
| Provider Name | Alexandra Nicole Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669009783 PECOS PAC ID: 0547687576 Enrollment ID: I20230803002344 |
| Provider Name | Aya Elalem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891322053 PECOS PAC ID: 1355703919 Enrollment ID: I20230814001779 |
| Provider Name | Gurkan Taviloglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811919889 PECOS PAC ID: 8022900372 Enrollment ID: I20230815003728 |
| Provider Name | Mustafa Samejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861000630 PECOS PAC ID: 0941619167 Enrollment ID: I20230823000122 |
| Provider Name | Elizabeth Rose Pacer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992332993 PECOS PAC ID: 9537522271 Enrollment ID: I20230829003204 |
| Provider Name | Ayomide Sotomi-foluso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154932291 PECOS PAC ID: 9133530256 Enrollment ID: I20230901003277 |
| Provider Name | Hansie Camille Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015485 PECOS PAC ID: 3173987153 Enrollment ID: I20230908001963 |
| Provider Name | Haadi Shuaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952923351 PECOS PAC ID: 4284088147 Enrollment ID: I20230926002404 |
| Provider Name | Alesia Filitovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558067223 PECOS PAC ID: 0244686988 Enrollment ID: I20231101000046 |
| Provider Name | Parul Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902289291 PECOS PAC ID: 7810203908 Enrollment ID: I20231215002582 |
| Provider Name | Robert D Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376101 PECOS PAC ID: 3971917634 Enrollment ID: I20240224000649 |
| Provider Name | Michelle Antoinette Pellegrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154024875 PECOS PAC ID: 3971948787 Enrollment ID: I20240304000790 |
| Provider Name | Aimie Hope Benko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740051044 PECOS PAC ID: 3173961588 Enrollment ID: I20240404001728 |
| Provider Name | Franz Banta Timbol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568222917 PECOS PAC ID: 6608218524 Enrollment ID: I20240523002477 |
| Provider Name | Chidinma Joy Touray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922862929 PECOS PAC ID: 6002358520 Enrollment ID: I20240611003995 |
Arcadia Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 S 6th Ave, Wauchula, FL 33873 Phone: 863-473-4733 Fax: 863-222-3177 | |
Pioneer Medical Center Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Carlton Street, Wauchula, FL 33873 Phone: 863-773-6606 Fax: 863-773-9542 | |
Heartland Pediatrics Association Of Wauchula, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heartland Way, Wauchula, FL 33873 Phone: 863-767-1414 Fax: 863-767-1763 | |
Pioneer Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Carlton St, Wauchula, FL 33873 Phone: 863-773-6606 Fax: 866-424-0959 | |
Florida Hospital Wauchula Pioneer Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Carlton St, Wauchula, FL 33873 Phone: 863-773-6606 Fax: 863-773-9542 | |
Ama Wauchula Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 S 6th Ave, Wauchula, FL 33873 Phone: 863-473-4733 | |
Central Florida Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Cobb Court, Wauchula, FL 33873 Phone: 866-234-8534 |