House Call M.d.'s L.l.c. | |
2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 | |
(407) 426-4800 | |
(407) 426-4820 |
Full Name | House Call M.d.'s L.l.c. |
---|---|
Speciality | Family Medicine |
Location | 2400 Maitland Center Pkwy Ste 310, Maitland, Florida |
Authorized Official Name and Position | Kacian S Brown (OWNER) |
Authorized Official Contact | 4074264800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
House Call M.d.'s L.l.c. 2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 Ph: (407) 426-4800 | House Call M.d.'s L.l.c. 2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 Ph: (407) 426-4800 |
NPI Number | 1275955312 |
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Provider Enumeration Date | 01/08/2014 |
Last Update Date | 11/09/2021 |
Medicare PECOS PAC ID | 5496033839 |
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Medicare Enrollment ID | O20161105000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275955312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 107523 (Florida) | Primary |
Provider Name | Kacian Simone Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508029141 PECOS PAC ID: 2466590492 Enrollment ID: I20101020001257 |
Provider Name | Abisoye Somorin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689026924 PECOS PAC ID: 5193012631 Enrollment ID: I20160927000858 |
Provider Name | Cherez Pouncey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407324700 PECOS PAC ID: 5991037343 Enrollment ID: I20191104003021 |
Provider Name | Florence Chavez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396309167 PECOS PAC ID: 1658703277 Enrollment ID: I20191119002397 |
Provider Name | Lynsey Materni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003457888 PECOS PAC ID: 1850722414 Enrollment ID: I20200514001749 |
Provider Name | Karla Yanitza Rodriguez Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205475431 PECOS PAC ID: 8527484146 Enrollment ID: I20200813001458 |
Provider Name | Deshawn Deloris Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508409855 PECOS PAC ID: 8628494143 Enrollment ID: I20200814000969 |
Provider Name | Ralph Edward Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326684713 PECOS PAC ID: 6507285558 Enrollment ID: I20200924002918 |
Provider Name | Faith Daza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902430473 PECOS PAC ID: 1850710575 Enrollment ID: I20200930000962 |
Provider Name | Soondy Jegede |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497270243 PECOS PAC ID: 1850707068 Enrollment ID: I20210315000832 |
Provider Name | Roshanda K. Ivey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417472242 PECOS PAC ID: 1850700733 Enrollment ID: I20210505001188 |
Provider Name | Muhammad Asad Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821380544 PECOS PAC ID: 1355619172 Enrollment ID: I20210614000259 |
Provider Name | Lobaba Habach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689292401 PECOS PAC ID: 5395145247 Enrollment ID: I20210614003128 |
Provider Name | Melinda Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134885999 PECOS PAC ID: 6608267794 Enrollment ID: I20211228001571 |
Provider Name | Cindy Lynne Perdue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366103236 PECOS PAC ID: 0244466118 Enrollment ID: I20220126002981 |
Provider Name | Jennifer Renee' Helsel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932602406 PECOS PAC ID: 3072907898 Enrollment ID: I20220221002315 |
Provider Name | Lillian Christine Mack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275296055 PECOS PAC ID: 3971997354 Enrollment ID: I20220301000822 |
Provider Name | Isolyn Housen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750994570 PECOS PAC ID: 0941688386 Enrollment ID: I20220526000018 |
Provider Name | Xia Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669118584 PECOS PAC ID: 9739563982 Enrollment ID: I20220907001753 |
Provider Name | Sarah Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275202574 PECOS PAC ID: 8820469166 Enrollment ID: I20230124000981 |
Provider Name | Felicia Depina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184077034 PECOS PAC ID: 4789963794 Enrollment ID: I20230201002653 |
Provider Name | Atia Rashay Gipson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376259564 PECOS PAC ID: 0749647766 Enrollment ID: I20230607001454 |
Provider Name | Jessica Santana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265160121 PECOS PAC ID: 2567821192 Enrollment ID: I20230629003047 |
Provider Name | Rosalyn N Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730435793 PECOS PAC ID: 1355702531 Enrollment ID: I20230803003831 |
Provider Name | Patricia Uchenna Chukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275224651 PECOS PAC ID: 0446605190 Enrollment ID: I20231016002053 |
Provider Name | Alexandra Marie Davila Sierra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356128953 PECOS PAC ID: 4587013602 Enrollment ID: I20231213004102 |
Provider Name | Kenia Llaudy Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013696194 PECOS PAC ID: 7113377334 Enrollment ID: I20231229000543 |
Provider Name | Keila Nicole Pimentel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801571062 PECOS PAC ID: 2668914656 Enrollment ID: I20240605003035 |
Provider Name | Amy Ye-eun Kang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740056522 PECOS PAC ID: 8426590472 Enrollment ID: I20240606000831 |
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