| Florida Hospital Zephyrhills Physician Group | |
|
7050 Gall Blvd Zephyrhills FL 33541-1347 | |
| (813) 788-0411 | |
| (813) 783-6196 |
| Full Name | Florida Hospital Zephyrhills Physician Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 7050 Gall Blvd, Zephyrhills, Florida |
| Authorized Official Name and Position | Ryan Willis (CFO) |
| Authorized Official Contact | 8137796201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Hospital Zephyrhills Physician Group 7050 Gall Blvd Zephyrhills FL 33541-1347 Ph: (813) 788-0411 | Florida Hospital Zephyrhills Physician Group 7050 Gall Blvd Zephyrhills FL 33541-1347 Ph: (813) 788-0411 |
| NPI Number | 1639325046 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 05/22/2020 |
| Medicare PECOS PAC ID | 2466499678 |
|---|---|
| Medicare Enrollment ID | O20051026001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639325046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael I Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922094986 PECOS PAC ID: 1456318898 Enrollment ID: I20041216000745 |
| Provider Name | Maria Villa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356390868 PECOS PAC ID: 5890791164 Enrollment ID: I20061010000090 |
| Provider Name | Bassel Ramadan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487603361 PECOS PAC ID: 3173592110 Enrollment ID: I20070131000634 |
| Provider Name | Rainer Q Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972794790 PECOS PAC ID: 5597845842 Enrollment ID: I20071228000084 |
| Provider Name | Annette S Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316920978 PECOS PAC ID: 0749385045 Enrollment ID: I20090116000111 |
| Provider Name | Bertram A Lewis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124096060 PECOS PAC ID: 3274502513 Enrollment ID: I20091017000007 |
| Provider Name | Pavitar S Cheema |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710996855 PECOS PAC ID: 9436329992 Enrollment ID: I20110819000477 |
| Provider Name | Khaled M Shahrour |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063643039 PECOS PAC ID: 0547315236 Enrollment ID: I20170607002025 |
| Provider Name | Susan Amanda Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922356989 PECOS PAC ID: 9234380031 Enrollment ID: I20210514001447 |
| Provider Name | Tina Mathenia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851743645 PECOS PAC ID: 6901191113 Enrollment ID: I20211216000780 |
| Provider Name | Patrick J Guthrie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063855138 PECOS PAC ID: 9830339639 Enrollment ID: I20220106001048 |
| Provider Name | Linda Joseph Parenteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889894 PECOS PAC ID: 8921489949 Enrollment ID: I20220721001341 |
| Provider Name | Robyn A Householder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093218836 PECOS PAC ID: 5496001406 Enrollment ID: I20240131001886 |
| Provider Name | Daniel Yanez Frau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124890561 PECOS PAC ID: 5496192817 Enrollment ID: I20240321000809 |
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