Palma Ceia Family Care, P.l. | |
2506 S Macdill Ave Suite A Tampa FL 33629-7261 | |
(813) 402-8779 | |
(813) 443-2113 |
Full Name | Palma Ceia Family Care, P.l. |
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Speciality | Clinic/Center |
Location | 2506 S Macdill Ave, Tampa, Florida |
Authorized Official Name and Position | Ryan James Adami (OWNER) |
Authorized Official Contact | 8134028779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palma Ceia Family Care, P.l. 2506 S Macdill Ave Suite A Tampa FL 33629-7261 Ph: (813) 402-8779 | Palma Ceia Family Care, P.l. 2506 S Macdill Ave Suite A Tampa FL 33629-7261 Ph: (813) 402-8779 |
NPI Number | 1184909913 |
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Provider Enumeration Date | 10/12/2011 |
Last Update Date | 10/19/2012 |
Medicare PECOS PAC ID | 0749430932 |
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Medicare Enrollment ID | O20121024000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184909913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | OS10332 (Florida) | Primary |
Provider Name | Ada C Tapper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669425229 PECOS PAC ID: 8123084761 Enrollment ID: I20041206000984 |
Provider Name | Allison Cale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316312770 PECOS PAC ID: 1456692839 Enrollment ID: I20190411002763 |
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