| Prawer Medical Group | |
|
5101 Brittany Dr S St Petersburg FL 33715-1565 | |
| (727) 644-8216 | |
| Not Available |
| Full Name | Prawer Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 5101 Brittany Dr S, St Petersburg, Florida |
| Authorized Official Name and Position | Adam Prawer (PRESIDENT) |
| Authorized Official Contact | 7276448216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prawer Medical Group 2410 Northside Dr Clearwater FL 33761-2236 Ph: (727) 499-0351 | Prawer Medical Group 5101 Brittany Dr S St Petersburg FL 33715-1565 Ph: (727) 644-8216 |
| NPI Number | 1275053415 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1658642434 |
|---|---|
| Medicare Enrollment ID | O20170814000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275053415 | NPI | - | NPPES |
| ME108773 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christine D Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619993227 PECOS PAC ID: 3375552292 Enrollment ID: I20060420000181 |
| Provider Name | Edna Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932434545 PECOS PAC ID: 0143362731 Enrollment ID: I20100120000356 |
| Provider Name | Adam J Prawer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841594801 PECOS PAC ID: 2062693153 Enrollment ID: I20110223000028 |
| Provider Name | Kristin S Sochet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447549365 PECOS PAC ID: 1658529110 Enrollment ID: I20120907000478 |
| Provider Name | Catherine M Prawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477510352 PECOS PAC ID: 8123277209 Enrollment ID: I20121004000684 |
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