| Longwood Medical Group Pa | |
|
450 W State Road 434 Ste 301 Longwood FL 32750-5187 | |
| (407) 767-8200 | |
| (407) 767-0476 |
| Full Name | Longwood Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Alisa Marie Character (BILLING OFFICE SUPERVISOR) |
| Authorized Official Contact | 4077678200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longwood Medical Group Pa 450 W State Rd 434 Ste 301 Longwood FL 32750 Ph: (407) 767-8200 | Longwood Medical Group Pa 450 W State Road 434 Ste 301 Longwood FL 32750-5187 Ph: (407) 767-8200 |
| NPI Number | 1235323023 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 05/01/2018 |
| Medicare PECOS PAC ID | 0941198519 |
|---|---|
| Medicare Enrollment ID | O20040305000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235323023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME79324 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME78066 (Florida) | Primary |
| Provider Name | Shahid Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578579272 PECOS PAC ID: 7012814882 Enrollment ID: I20050331000415 |
| Provider Name | Wasim Ahmar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528061330 PECOS PAC ID: 2668360231 Enrollment ID: I20081010000479 |
| Provider Name | Khalid Yaqoob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285686428 PECOS PAC ID: 1557331923 Enrollment ID: I20081010000496 |
| Provider Name | Elsie Alexandre-joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174922041 PECOS PAC ID: 0749401339 Enrollment ID: I20141023002133 |
| Provider Name | Jasmine Cruz Sanchez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891010716 PECOS PAC ID: 2567627102 Enrollment ID: I20161114000779 |
| Provider Name | Mary Katherine Raneli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861036634 PECOS PAC ID: 1153756044 Enrollment ID: I20200123001107 |
| Provider Name | Jordan Ashley Galbraith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316559503 PECOS PAC ID: 2365859931 Enrollment ID: I20210326000105 |
| Provider Name | Latandra L Rhule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548835903 PECOS PAC ID: 4082006895 Enrollment ID: I20220127001484 |
Yhm Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2660 W Sr 434, Longwood, FL 32779 Phone: 407-907-5199 | |
Associated Inpatient Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 W Sabal Palm Pl, Suite 300, Longwood, FL 32779 Phone: 407-260-1137 Fax: 407-332-7893 | |
Bb Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 357 Wekiva Springs Rd Ste 3, Longwood, FL 32779 Phone: 407-308-2979 | |
Florida Facilitists, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 W Lake Brantley Rd, Longwood, FL 32779 Phone: 321-273-0301 | |
Apollo Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 721 Ciara Creek Cv, Longwood, FL 32750 Phone: 407-887-7565 Fax: 407-887-1955 | |
Susan Toth D.o.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W State Road 434, Suite 308, Longwood, FL 32750 Phone: 407-831-2000 Fax: 407-831-4761 | |
Maternal Home Childbirth Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 366 Needles Trl, Longwood, FL 32779 Phone: 724-471-8606 |