| Jeffery A. Prosser, M.d. | |
|
905 E Mlk Dr Ste 390 Tarpon Springs FL 34689-4828 | |
| (727) 940-7664 | |
| (727) 940-7710 |
| Full Name | Jeffery A. Prosser, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 905 E Mlk Dr Ste 390, Tarpon Springs, Florida |
| Authorized Official Name and Position | Jeffery Allen Prosser (PRESIDENT) |
| Authorized Official Contact | 8139431684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery A. Prosser, M.d. Po Box 2348 Tarpon Springs FL 34688-2348 Ph: (727) 940-7664 | Jeffery A. Prosser, M.d. 905 E Mlk Dr Ste 390 Tarpon Springs FL 34689-4828 Ph: (727) 940-7664 |
| NPI Number | 1366888166 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 3173753928 |
|---|---|
| Medicare Enrollment ID | O20140224001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366888166 | NPI | - | NPPES |
| 330394 | Other | FL | MEDICARE PROVIDER # |
| 00614755 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 81606 (Florida) | Primary |
| Provider Name | Jeffrey Allen Prosser |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023154515 PECOS PAC ID: 1658393871 Enrollment ID: I20051230000408 |
| Provider Name | Melissa Raquel Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558986232 PECOS PAC ID: 1951709088 Enrollment ID: I20211005000048 |
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Thomas E. Carson, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1259 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-938-1908 Fax: 727-938-8693 | |
Shereza N. Abdool D.o. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 S Pinellas Ave, Suite P, Tarpon Springs, FL 34689 Phone: 727-940-5278 Fax: 813-464-3113 | |
Marina V Kulick Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1744 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-940-3478 Fax: 727-940-3480 | |
Transform Your Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Pinellas Ave Ste 106, Tarpon Springs, FL 34689 Phone: 727-786-1661 Fax: 727-785-3783 | |
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