| Phoenix Medical Centers Corp | |
|
3645 W Waters Ave Tampa FL 33614-2783 | |
| (813) 462-2595 | |
| (813) 462-2596 |
| Full Name | Phoenix Medical Centers Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 3645 W Waters Ave, Tampa, Florida |
| Authorized Official Name and Position | Arnaldo Victor Orellana Molina (OWNER) |
| Authorized Official Contact | 2392732797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Medical Centers Corp 3645 W Waters Ave Tampa FL 33614-2783 Ph: (813) 462-2595 | Phoenix Medical Centers Corp 3645 W Waters Ave Tampa FL 33614-2783 Ph: (813) 462-2595 |
| NPI Number | 1598226797 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 4981933785 |
|---|---|
| Medicare Enrollment ID | O20190904000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598226797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Ernesto Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548313950 PECOS PAC ID: 8527225473 Enrollment ID: I20120203000194 |
| Provider Name | Arnaldo V Orellana Molina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477844652 PECOS PAC ID: 5799932653 Enrollment ID: I20120828000500 |
| Provider Name | Esther Echevarria |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225134745 PECOS PAC ID: 0446210215 Enrollment ID: I20170208001660 |
| Provider Name | Guillermo Buenaventura Gonzalez Lemes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879175 PECOS PAC ID: 0840626438 Enrollment ID: I20200129002714 |
| Provider Name | Ismara Hernandez Carrazana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264917 PECOS PAC ID: 6608287024 Enrollment ID: I20201116001551 |
| Provider Name | Carlos Mario Mujica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265191803 PECOS PAC ID: 8022458645 Enrollment ID: I20240430002969 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |