| Gastroenterology And Nutrition Of Central Florida Llc | |
|
822 Perkins St Leesburg FL 34748-4350 | |
| (352) 315-4111 | |
| (352) 315-4112 |
| Full Name | Gastroenterology And Nutrition Of Central Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 822 Perkins St, Leesburg, Florida |
| Authorized Official Name and Position | Nehme Gabriel (OWNER) |
| Authorized Official Contact | 3526383883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology And Nutrition Of Central Florida Llc 822 Perkins St Leesburg FL 34748-4350 Ph: (352) 315-4111 | Gastroenterology And Nutrition Of Central Florida Llc 822 Perkins St Leesburg FL 34748-4350 Ph: (352) 315-4111 |
| NPI Number | 1316996945 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 02/20/2017 |
| Medicare PECOS PAC ID | 8921000787 |
|---|---|
| Medicare Enrollment ID | O20070207000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316996945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZC0006X | Pathology - Clinical Pathology | (* (Not Available)) | Secondary |
| Provider Name | Steven Scott Harvey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730107103 PECOS PAC ID: 2264345651 Enrollment ID: I20031111000620 |
| Provider Name | Marcus Carlisle Bethea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659308773 PECOS PAC ID: 9739143447 Enrollment ID: I20050523000865 |
| Provider Name | Deborah L Zeagler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417991746 PECOS PAC ID: 2264411966 Enrollment ID: I20050825000786 |
| Provider Name | James K Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073592812 PECOS PAC ID: 6305855768 Enrollment ID: I20060418000162 |
| Provider Name | Nehme Gabriel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366493652 PECOS PAC ID: 8820090780 Enrollment ID: I20070206000047 |
| Provider Name | Robert M Fechtenburg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871519652 PECOS PAC ID: 7113953035 Enrollment ID: I20090421000213 |
| Provider Name | Tri H Huynh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164687042 PECOS PAC ID: 9436282407 Enrollment ID: I20100728000883 |
| Provider Name | Chris Kechriotis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891721627 PECOS PAC ID: 4284698994 Enrollment ID: I20101027000876 |
| Provider Name | Rajesambhaji S Borade |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598904153 PECOS PAC ID: 0749335818 Enrollment ID: I20130801000191 |
| Provider Name | Ashley N Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982059994 PECOS PAC ID: 9537447248 Enrollment ID: I20161101001435 |
| Provider Name | Brandon R Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316489669 PECOS PAC ID: 1658655543 Enrollment ID: I20170221000240 |
| Provider Name | Heather Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093288045 PECOS PAC ID: 0042558108 Enrollment ID: I20190214002479 |
| Provider Name | Frances Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649806431 PECOS PAC ID: 4385074616 Enrollment ID: I20200428001599 |
| Provider Name | Carolyn Macuha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518592039 PECOS PAC ID: 2365868148 Enrollment ID: I20210629001566 |
| Provider Name | Corinne Zdanuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851913875 PECOS PAC ID: 1153740691 Enrollment ID: I20221206000821 |
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