| Pedirite Medical Fl Llc | |
|
60 N Highway 17 92 Debary FL 32713-2513 | |
| (212) 764-0008 | |
| Not Available |
| Full Name | Pedirite Medical Fl Llc |
|---|---|
| Speciality | General Practice |
| Location | 60 N Highway 17 92, Debary, Florida |
| Authorized Official Name and Position | Sol Klein (MBR) |
| Authorized Official Contact | 2127640008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedirite Medical Fl Llc 267 Broadway Fl 2 Brooklyn NY 11211-6216 Ph: () - | Pedirite Medical Fl Llc 60 N Highway 17 92 Debary FL 32713-2513 Ph: (212) 764-0008 |
| NPI Number | 1750962023 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 7113336843 |
|---|---|
| Medicare Enrollment ID | O20210511000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750962023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Samuel S Woociker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912971979 PECOS PAC ID: 0749172682 Enrollment ID: I20040326000219 |
| Provider Name | Cynthia Marzouka-losito |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972684157 PECOS PAC ID: 4385625219 Enrollment ID: I20040528000304 |
| Provider Name | Mark J Metzger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699773176 PECOS PAC ID: 9032178470 Enrollment ID: I20041011000097 |
| Provider Name | Albert A D Errico |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366630030 PECOS PAC ID: 2264422963 Enrollment ID: I20050414000346 |
| Provider Name | Christopher L Pulliam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134183270 PECOS PAC ID: 1456549708 Enrollment ID: I20101230000569 |
| Provider Name | Geovanny Chico |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245202225 PECOS PAC ID: 2860429396 Enrollment ID: I20120124000222 |
| Provider Name | Devanshu L Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801221593 PECOS PAC ID: 0941514939 Enrollment ID: I20180813000239 |
| Provider Name | Cynthia Correa-cedeno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023461480 PECOS PAC ID: 5294068714 Enrollment ID: I20190614000643 |
| Provider Name | Anish Amin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265819700 PECOS PAC ID: 6002125218 Enrollment ID: I20190815001039 |
| Provider Name | Jessy Pierre-louis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154775153 PECOS PAC ID: 6305271453 Enrollment ID: I20200117000420 |
| Provider Name | Christopher Bush |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194768556 PECOS PAC ID: 2264423359 Enrollment ID: I20200528000528 |
| Provider Name | Kimberly Woodard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598004095 PECOS PAC ID: 5193967636 Enrollment ID: I20200623000571 |
| Provider Name | Aaron Czekaj |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922261379 PECOS PAC ID: 6507046471 Enrollment ID: I20200828000156 |
| Provider Name | Asma Nasir Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659518264 PECOS PAC ID: 5597897066 Enrollment ID: I20210219000090 |
| Provider Name | Yvette L Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821029539 PECOS PAC ID: 3072559970 Enrollment ID: I20210701001827 |
| Provider Name | Sarina Faye Epstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295223329 PECOS PAC ID: 6103228184 Enrollment ID: I20210713003678 |
| Provider Name | Joshua Eric Epstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669906921 PECOS PAC ID: 5294137279 Enrollment ID: I20210713003851 |
| Provider Name | Melissa J Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164492948 PECOS PAC ID: 9931125234 Enrollment ID: I20211005001531 |
| Provider Name | Emily Niles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023502234 PECOS PAC ID: 0749670503 Enrollment ID: I20211209001652 |
| Provider Name | Camilo J Benitez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285977512 PECOS PAC ID: 8628376399 Enrollment ID: I20220202001474 |
| Provider Name | Abir Ghumrawi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316507478 PECOS PAC ID: 9335526805 Enrollment ID: I20220523001652 |
| Provider Name | Thi A Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518420959 PECOS PAC ID: 2163804790 Enrollment ID: I20220729000478 |
| Provider Name | Salvatore S Meleca |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477116721 PECOS PAC ID: 3577948082 Enrollment ID: I20220920002361 |
| Provider Name | Lawrence Handler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417989302 PECOS PAC ID: 3870615156 Enrollment ID: I20221227002175 |
| Provider Name | Brian Farrell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205332319 PECOS PAC ID: 9335497833 Enrollment ID: I20240606003931 |
Potenciano Gonzales Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 | |
Premier Physician Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 818-575-0204 | |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 | |
Humberto A Dominguez Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 | |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 | |
Potenciano D Gonzales Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite B, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 |