| Gericare, Inc. | |
|
5331 Primrose Lake Cir Ste 112 Tampa FL 33647-3764 | |
| (813) 517-4629 | |
| (813) 434-2353 |
| Full Name | Gericare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5331 Primrose Lake Cir Ste 112, Tampa, Florida |
| Authorized Official Name and Position | Jessica Rondon (PRESIDENT) |
| Authorized Official Contact | 8133166500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gericare, Inc. 12094 Anderson Rd # 177 Tampa FL 33625-5682 Ph: (813) 517-4629 | Gericare, Inc. 5331 Primrose Lake Cir Ste 112 Tampa FL 33647-3764 Ph: (813) 517-4629 |
| NPI Number | 1619501749 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 7416366703 |
|---|---|
| Medicare Enrollment ID | O20210518001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619501749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael Rondon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568667715 PECOS PAC ID: 3173694387 Enrollment ID: I20080616000605 |
| Provider Name | Jessica Rondon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508143066 PECOS PAC ID: 0446425797 Enrollment ID: I20111214000856 |
| Provider Name | Annerys B Utra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417522871 PECOS PAC ID: 4688074032 Enrollment ID: I20210930000249 |
| Provider Name | Aramis Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225604663 PECOS PAC ID: 2163811811 Enrollment ID: I20211118000199 |
| Provider Name | Ana Pineda Arcis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346514072 PECOS PAC ID: 5496117103 Enrollment ID: I20230811002688 |
| Provider Name | Candido Otero Arcis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877863 PECOS PAC ID: 2860846573 Enrollment ID: I20230929000392 |
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