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9780 N 56th St Ste C Temple Terrace FL 33617-5546 | |
| (813) 549-7465 | |
| (813) 549-7399 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 9780 N 56th St Ste C, Temple Terrace, Florida |
| Authorized Official Name and Position | Ike C Okeke (DIRECTOR) |
| Authorized Official Contact | 8135497460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9780 N 56th St # C Temple Terrace FL 33617-5508 Ph: (813) 549-7465 | 9780 N 56th St Ste C Temple Terrace FL 33617-5546 Ph: (813) 549-7465 |
| NPI Number | 1700061223 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 2163591835 |
|---|---|
| Medicare Enrollment ID | O20080521000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700061223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC7887 (Florida) | Primary |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790895035 PECOS PAC ID: 1153234208 Enrollment ID: I20040524000744 |
| Provider Name | Sergey P Litvinov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669633129 PECOS PAC ID: 3870659600 Enrollment ID: I20090303000656 |
| Provider Name | Michael Ositadinma Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569811 PECOS PAC ID: 7416350848 Enrollment ID: I20210722003436 |
| Provider Name | Hardeep Kumar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609360189 PECOS PAC ID: 9234485632 Enrollment ID: I20220404000158 |
| Provider Name | Ruchi Panara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629601885 PECOS PAC ID: 4981049897 Enrollment ID: I20240301002278 |
Dr. Michael Major, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11401 North 56th Street, Suite 18, Temple Terrace, FL 33687 Phone: 813-988-8088 Fax: 813-464-8089 | |
Ally Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5503 E Busch Blvd, Temple Terrace, FL 33617 Phone: 813-200-7717 Fax: 813-985-8500 | |
Just Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10320 N 56th St Ste 100, Temple Terrace, FL 33617 Phone: 813-442-5144 Fax: 833-792-1020 | |
Agnes Ubani Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10320 N 56th St, Suite 120, Temple Terrace, FL 33617 Phone: 813-341-7900 | |
Superior Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10730 N 56th St Ste 209, Temple Terrace, FL 33617 Phone: 813-365-5680 | |