Health Covenant Primary Care | |
1323 W Busch Blvd Ste A Tampa FL 33612-7766 | |
(813) 391-9681 | |
Not Available |
Full Name | Health Covenant Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 1323 W Busch Blvd Ste A, Tampa, Florida |
Authorized Official Name and Position | Magaly Dicanio (ADMINISTRATOR) |
Authorized Official Contact | 8133919681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Health Covenant Primary Care 1323 W Busch Blvd Ste A Tampa FL 33612-7766 Ph: (813) 391-9681 | Health Covenant Primary Care 1323 W Busch Blvd Ste A Tampa FL 33612-7766 Ph: (813) 391-9681 |
NPI Number | 1780122473 |
---|---|
Provider Enumeration Date | 02/02/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4688959042 |
---|---|
Medicare Enrollment ID | O20170327001529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780122473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ross E Glider |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457342768 PECOS PAC ID: 4981668142 Enrollment ID: I20041117000323 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |