| Florida Telemed Associates Pllc | |
|
1701 Se Hillmoor Dr Port Saint Lucie FL 34952-7552 | |
| (631) 983-7421 | |
| Not Available |
| Full Name | Florida Telemed Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Sajan Varghese (OWNER) |
| Authorized Official Contact | 6319837421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Telemed Associates Pllc Po Box 880623 Port Saint Lucie FL 34988-0623 Ph: () - | Florida Telemed Associates Pllc 1701 Se Hillmoor Dr Port Saint Lucie FL 34952-7552 Ph: (631) 983-7421 |
| NPI Number | 1275156986 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 8325464613 |
|---|---|
| Medicare Enrollment ID | O20200818000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275156986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeremy Scott Bleicher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053656561 PECOS PAC ID: 1850600545 Enrollment ID: I20151020002006 |
| Provider Name | Sajan Thomas Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407498371 PECOS PAC ID: 5698191989 Enrollment ID: I20200818000527 |
| Provider Name | Anis Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174511661 PECOS PAC ID: 9335146141 Enrollment ID: I20210301002776 |
| Provider Name | Mehar Ghei |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1912560210 PECOS PAC ID: 6709329105 Enrollment ID: I20240613001809 |
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