Landmark Medical Of Florida, Pa | |
5130 Sunforest Dr Tampa FL 33634-6318 | |
(657) 400-5180 | |
Not Available |
Full Name | Landmark Medical Of Florida, Pa |
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Speciality | General Practice |
Location | 5130 Sunforest Dr, Tampa, Florida |
Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6574005180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Landmark Medical Of Florida, Pa 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: (657) 237-2450 | Landmark Medical Of Florida, Pa 5130 Sunforest Dr Tampa FL 33634-6318 Ph: (657) 400-5180 |
NPI Number | 1639888571 |
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Provider Enumeration Date | 11/18/2022 |
Last Update Date | 01/30/2024 |
Medicare PECOS PAC ID | 7810369725 |
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Medicare Enrollment ID | O20230202000078 |
Identifier | Type | State | Issuer |
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1639888571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Julie Formoso Onofrio |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619941069 PECOS PAC ID: 1658261961 Enrollment ID: I20040319000021 |
Provider Name | Anamaria Gonzalez Shanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871539361 PECOS PAC ID: 0648285528 Enrollment ID: I20060214000339 |
Provider Name | Audrey D Asbey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861668568 PECOS PAC ID: 1850457706 Enrollment ID: I20090302000577 |
Provider Name | Florence Patricia Mceachrane-gross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417038894 PECOS PAC ID: 7214062876 Enrollment ID: I20111214000615 |
Provider Name | Lyntressa Danielle Grant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083955793 PECOS PAC ID: 3375784911 Enrollment ID: I20130724000965 |
Provider Name | Lisa Mary Dominach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811232515 PECOS PAC ID: 9830338359 Enrollment ID: I20140304001305 |
Provider Name | David Anthony Koutz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891176384 PECOS PAC ID: 8820303613 Enrollment ID: I20150824001440 |
Provider Name | Alexis Goss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114301827 PECOS PAC ID: 4183931413 Enrollment ID: I20150917002778 |
Provider Name | Barbara L Haskell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679820054 PECOS PAC ID: 8820213135 Enrollment ID: I20150930000792 |
Provider Name | Catherine H Vesely |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932567500 PECOS PAC ID: 6305144122 Enrollment ID: I20160412001235 |
Provider Name | Vicki L Barlow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699135863 PECOS PAC ID: 0941594451 Enrollment ID: I20160805001589 |
Provider Name | Sabrina Blancas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477009553 PECOS PAC ID: 4587948641 Enrollment ID: I20170309000588 |
Provider Name | Yaischa Caridad Dukes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194277459 PECOS PAC ID: 5799061768 Enrollment ID: I20170406001658 |
Provider Name | Kimberly H Clayton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447759543 PECOS PAC ID: 1850654195 Enrollment ID: I20180418002752 |
Provider Name | Tyesha Natae' Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023550035 PECOS PAC ID: 0547517179 Enrollment ID: I20180727000345 |
Provider Name | Carlos E Orive |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922585975 PECOS PAC ID: 2668405838 Enrollment ID: I20190208001789 |
Provider Name | Latoya K Elmes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003328303 PECOS PAC ID: 4284973843 Enrollment ID: I20190227000859 |
Provider Name | Andrea L Ellis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770070898 PECOS PAC ID: 8729327937 Enrollment ID: I20190306001780 |
Provider Name | Cheryl Hasch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356834725 PECOS PAC ID: 2769725076 Enrollment ID: I20190529002261 |
Provider Name | Sandra D Tucker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346702545 PECOS PAC ID: 3779816418 Enrollment ID: I20190611003060 |
Provider Name | Aundrea Shalise Guillaume-sponsel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740823723 PECOS PAC ID: 0143652636 Enrollment ID: I20191121002747 |
Provider Name | Robert Mathis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275168999 PECOS PAC ID: 9830516400 Enrollment ID: I20200827001019 |
Provider Name | Melissa Giarratano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740643592 PECOS PAC ID: 2062839517 Enrollment ID: I20200828000424 |
Provider Name | Cortney Jean Glassman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164972196 PECOS PAC ID: 1557775731 Enrollment ID: I20210129000474 |
Provider Name | Monica Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972191831 PECOS PAC ID: 6204240286 Enrollment ID: I20210203000432 |
Provider Name | Nicole Walters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811595945 PECOS PAC ID: 1759797426 Enrollment ID: I20210303002139 |
Provider Name | Elcire Guillot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235738444 PECOS PAC ID: 7911316658 Enrollment ID: I20210510000172 |
Provider Name | Ian Burge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124317359 PECOS PAC ID: 9931394632 Enrollment ID: I20210707003974 |
Provider Name | Altee Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386869410 PECOS PAC ID: 4385836154 Enrollment ID: I20210920002520 |
Provider Name | Severine Dondina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639707516 PECOS PAC ID: 1557759271 Enrollment ID: I20211029002425 |
Provider Name | Anah Trecita Williams-martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063177210 PECOS PAC ID: 6103219639 Enrollment ID: I20220207000154 |
Provider Name | John A Mcintosh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871250266 PECOS PAC ID: 4183019649 Enrollment ID: I20220318001503 |
Provider Name | Viviene Verona Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275005449 PECOS PAC ID: 0749666972 Enrollment ID: I20220926001976 |
Provider Name | Anaidra Reese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20220927001015 |
Provider Name | Meagan Symone Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902404726 PECOS PAC ID: 4880061928 Enrollment ID: I20221102003409 |
Provider Name | Gina Marie Feriola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053909648 PECOS PAC ID: 1153786140 Enrollment ID: I20230426001743 |
Provider Name | Alyssa Ashley Hardesty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427605252 PECOS PAC ID: 3072979178 Enrollment ID: I20230516001060 |
Provider Name | Jennifer Jean Trump |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467952069 PECOS PAC ID: 3274895628 Enrollment ID: I20230518000926 |
Provider Name | Tammy S Vincent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295107357 PECOS PAC ID: 5294023479 Enrollment ID: I20230518002029 |
Provider Name | Pamela Jane Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417372400 PECOS PAC ID: 9638393580 Enrollment ID: I20230518002933 |
Provider Name | Amber Jerelene Arnold |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366616344 PECOS PAC ID: 3779635776 Enrollment ID: I20230518003330 |
Provider Name | Laura Nordgren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720562002 PECOS PAC ID: 0648522029 Enrollment ID: I20230523000089 |
Provider Name | Keyana Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578170320 PECOS PAC ID: 8628480720 Enrollment ID: I20230527000306 |
Provider Name | Michelle Aucoin Henke |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205125200 PECOS PAC ID: 6002061041 Enrollment ID: I20230607000510 |
Provider Name | Ashleigh Ramsey Alsip |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528321072 PECOS PAC ID: 6204089972 Enrollment ID: I20230612001383 |
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 |