| Greenbrook Medical Practice, Pllc | |
|
11200 E Dr Martin Luther King Jr Blvd Ste 107 Seffner FL 33584-8351 | |
| (813) 443-3399 | |
| Not Available |
| Full Name | Greenbrook Medical Practice, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11200 E Dr Martin Luther King Jr Blvd Ste 107, Seffner, Florida |
| Authorized Official Name and Position | Raj Machhar (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8134433399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Medical Practice, Pllc 11200 E Dr Martin Luther King Jr Blvd Ste 107 Seffner FL 33584-8351 Ph: (813) 443-3399 | Greenbrook Medical Practice, Pllc 11200 E Dr Martin Luther King Jr Blvd Ste 107 Seffner FL 33584-8351 Ph: (813) 443-3399 |
| NPI Number | 1457014342 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 5092105627 |
|---|---|
| Medicare Enrollment ID | O20211214000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457014342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Raj Prakash Machhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972948701 PECOS PAC ID: 7214229855 Enrollment ID: I20211214000680 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053800235 PECOS PAC ID: 2961806476 Enrollment ID: I20221207000780 |
Patel & Gedia Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 S Parsons Ave, Seffner, FL 33584 Phone: 813-684-3222 Fax: 813-681-8942 | |
Medexpress Urgent Care - Seffner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W. Martin Luther King Boulevard, Seffner, FL 33584 Phone: 813-684-4424 Fax: 813-684-0797 |