| Id Team Pa | |
|
201 14th Street Sw Largo FL 33770 | |
| (727) 420-6374 | |
| (813) 355-0810 |
| Full Name | Id Team Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 14th Street Sw, Largo, Florida |
| Authorized Official Name and Position | Rachel Irby (PRESIDENT) |
| Authorized Official Contact | 8132267961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Team Pa 10460 Roosevelt Blvd N # 169 Saint Petersburg FL 33716-3821 Ph: (727) 420-6374 | Id Team Pa 201 14th Street Sw Largo FL 33770 Ph: (727) 420-6374 |
| NPI Number | 1275007841 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 8628318599 |
|---|---|
| Medicare Enrollment ID | O20190313001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275007841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Rachel Franck Irby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728586 PECOS PAC ID: 0244417897 Enrollment ID: I20110607000657 |
| Provider Name | Louise Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346446275 PECOS PAC ID: 6103011135 Enrollment ID: I20130927000530 |
| Provider Name | Arnoldo Gonzalez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194910752 PECOS PAC ID: 2264521962 Enrollment ID: I20160122001008 |
| Provider Name | Cristina V Garcia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265851695 PECOS PAC ID: 3870921505 Enrollment ID: I20210504000869 |
| Provider Name | Garabet Akoghlanian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447699145 PECOS PAC ID: 3173746278 Enrollment ID: I20211118000802 |
| Provider Name | Kate Michele Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922884477 PECOS PAC ID: 5092157750 Enrollment ID: I20240525000165 |
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