| John G Symeonides M D Llc | |
|
145 Cypress Point Pkwy Unit 105 Palm Coast FL 32164-8426 | |
| (386) 246-7596 | |
| Not Available |
| Full Name | John G Symeonides M D Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 145 Cypress Point Pkwy, Palm Coast, Florida |
| Authorized Official Name and Position | John G Symeonides (PHYSICIAN) |
| Authorized Official Contact | 3868649800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Symeonides M D Llc Po Box 354034 Palm Coast FL 32135-4034 Ph: (386) 864-9800 | John G Symeonides M D Llc 145 Cypress Point Pkwy Unit 105 Palm Coast FL 32164-8426 Ph: (386) 246-7596 |
| NPI Number | 1508802604 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 2769569623 |
|---|---|
| Medicare Enrollment ID | O20080403000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508802604 | NPI | - | NPPES |
| Provider Name | John G Symeonides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063600310 PECOS PAC ID: 7113997651 Enrollment ID: I20040730000484 |
| Provider Name | Heather Anne Garofalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225564693 PECOS PAC ID: 4880965359 Enrollment ID: I20170801002643 |
| Provider Name | Georgianne Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736277 PECOS PAC ID: 5890026215 Enrollment ID: I20191015002855 |
| Provider Name | Evan Bradlee Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908874 PECOS PAC ID: 0941684823 Enrollment ID: I20220825003174 |
| Provider Name | Artem I Lorens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396520573 PECOS PAC ID: 6002264355 Enrollment ID: I20231127001964 |
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