Patients First Family Medicine | |
11663 Countryway Blvd Tampa FL 33626-2739 | |
(813) 891-6310 | |
(813) 891-6889 |
Full Name | Patients First Family Medicine |
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Speciality | Family Medicine |
Location | 11663 Countryway Blvd, Tampa, Florida |
Authorized Official Name and Position | Gregory Alexander Berland (PRESIDENT) |
Authorized Official Contact | 8138916310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patients First Family Medicine P O Box 1945 Palm Harbor FL 34682-1945 Ph: (727) 771-1300 | Patients First Family Medicine 11663 Countryway Blvd Tampa FL 33626-2739 Ph: (813) 891-6310 |
NPI Number | 1780609255 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 04/06/2012 |
Medicare PECOS PAC ID | 4981675568 |
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Medicare Enrollment ID | O20040805000830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780609255 | NPI | - | NPPES |
266998600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME83697 (Florida) | Primary |
Provider Name | Cari L Caraway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184793192 PECOS PAC ID: 7719878164 Enrollment ID: I20040324000010 |
Provider Name | Gregory A Berland |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265427405 PECOS PAC ID: 5597744797 Enrollment ID: I20040720000091 |
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