| Md At Home Central Florida, Llc | |
|
8201 Peters Rd Ste 1000 Plantation FL 33324-3266 | |
| (312) 243-2223 | |
| Not Available |
| Full Name | Md At Home Central Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8201 Peters Rd Ste 1000, Plantation, Florida |
| Authorized Official Name and Position | Suzanne Hall (CFO) |
| Authorized Official Contact | 7738828192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md At Home Central Florida, Llc 8201 Peters Rd Ste 1000 Plantation FL 33324-3266 Ph: () - | Md At Home Central Florida, Llc 8201 Peters Rd Ste 1000 Plantation FL 33324-3266 Ph: (312) 243-2223 |
| NPI Number | 1841983970 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 5395109433 |
|---|---|
| Medicare Enrollment ID | O20230907004558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841983970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daphney Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785636 PECOS PAC ID: 8123262557 Enrollment ID: I20131113002036 |
| Provider Name | Francois Roger Belin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790277457 PECOS PAC ID: 8022361963 Enrollment ID: I20211013003831 |
| Provider Name | Nicolas Cordoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700132628 PECOS PAC ID: 4486913696 Enrollment ID: I20211122002898 |
| Provider Name | Maria Sukhoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619435245 PECOS PAC ID: 1850720616 Enrollment ID: I20220919002486 |
| Provider Name | Yainadys Rodriguez Basteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518741198 PECOS PAC ID: 9931550159 Enrollment ID: I20240111002659 |
| Provider Name | Renee Jean Hertenberger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164285862 PECOS PAC ID: 6002252699 Enrollment ID: I20240305004467 |
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