| Frontier Physical Medicine | |
|
2461 Enterprise Rd Ste C Clearwater FL 33763-1726 | |
| (727) 683-6610 | |
| Not Available |
| Full Name | Frontier Physical Medicine |
|---|---|
| Speciality | General Practice |
| Location | 2461 Enterprise Rd Ste C, Clearwater, Florida |
| Authorized Official Name and Position | Fatima Hussein (OWNER) |
| Authorized Official Contact | 7276836610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Physical Medicine 2461 Enterprise Rd Ste C Clearwater FL 33763-1726 Ph: (727) 683-6610 | Frontier Physical Medicine 2461 Enterprise Rd Ste C Clearwater FL 33763-1726 Ph: (727) 683-6610 |
| NPI Number | 1457023731 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 9638568488 |
|---|---|
| Medicare Enrollment ID | O20211116002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457023731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Fatima Y Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245233717 PECOS PAC ID: 0648269738 Enrollment ID: I20211116002325 |
| Provider Name | Christopher Jensen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194456525 PECOS PAC ID: 3274987409 Enrollment ID: I20230921003268 |
| Provider Name | Erika Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780459834 PECOS PAC ID: 5799137055 Enrollment ID: I20240123000974 |
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