| Polmed Pa | |
|
3890 Tampa Rd Ste 404 Palm Harbor FL 34684-3675 | |
| (727) 216-0505 | |
| (727) 789-8261 |
| Full Name | Polmed Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3890 Tampa Rd Ste 404, Palm Harbor, Florida |
| Authorized Official Name and Position | Robert Kaszuba (PRESIDENT) |
| Authorized Official Contact | 7272160505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Polmed Pa 3890 Tampa Rd Ste 404 Palm Harbor FL 34684-3675 Ph: (727) 216-0505 | Polmed Pa 3890 Tampa Rd Ste 404 Palm Harbor FL 34684-3675 Ph: (727) 216-0505 |
| NPI Number | 1033144290 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 01/12/2010 |
| Medicare PECOS PAC ID | 2961419874 |
|---|---|
| Medicare Enrollment ID | O20060317000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033144290 | NPI | - | NPPES |
| 274663800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Kaszuba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277225 PECOS PAC ID: 0648287466 Enrollment ID: I20060530000246 |
| Provider Name | Winona L Werts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821501982 PECOS PAC ID: 2062766421 Enrollment ID: I20181121001798 |
| Provider Name | Denise L Digregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861907313 PECOS PAC ID: 8325383854 Enrollment ID: I20190102002094 |
| Provider Name | Alexis J Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225593684 PECOS PAC ID: 2365772183 Enrollment ID: I20190920002877 |
| Provider Name | Chamnit Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376017087 PECOS PAC ID: 4486984184 Enrollment ID: I20190923002979 |
| Provider Name | Rachael L Staton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497371173 PECOS PAC ID: 9032537931 Enrollment ID: I20200909001551 |
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