| Premier Specialty Alliance Inc | |
|
1580 Santa Barbara Blvd The Villages FL 32159-6827 | |
| (352) 259-2159 | |
| (352) 259-5731 |
| Full Name | Premier Specialty Alliance Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1580 Santa Barbara Blvd, The Villages, Florida |
| Authorized Official Name and Position | Cynthia Romska (CREDENTIALING SPEC ADMIN ASSISTANT) |
| Authorized Official Contact | 3522592159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Specialty Alliance Inc 1580 Santa Barbara Blvd The Villages FL 32159-6827 Ph: () - | Premier Specialty Alliance Inc 1580 Santa Barbara Blvd The Villages FL 32159-6827 Ph: (352) 259-2159 |
| NPI Number | 1477970606 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 11/16/2022 |
| Medicare PECOS PAC ID | 1759672140 |
|---|---|
| Medicare Enrollment ID | O20160615000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477970606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin Spohr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205032497 PECOS PAC ID: 1254301179 Enrollment ID: I20040728001228 |
| Provider Name | Madhusudhan R Banda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164529293 PECOS PAC ID: 0244289577 Enrollment ID: I20070117000299 |
| Provider Name | Mohammad A Eldeeb |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1932213568 PECOS PAC ID: 8325029192 Enrollment ID: I20070731000614 |
| Provider Name | Stephen I Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538267802 PECOS PAC ID: 9335162569 Enrollment ID: I20081025000106 |
| Provider Name | Sundeep Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982868972 PECOS PAC ID: 9133390826 Enrollment ID: I20110929000639 |
| Provider Name | Bruce Lobar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679534853 PECOS PAC ID: 7113926296 Enrollment ID: I20130417000242 |
| Provider Name | Melchor E Madarang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013975366 PECOS PAC ID: 6709865694 Enrollment ID: I20150210000893 |
| Provider Name | Kenneth Ethan Lai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376893974 PECOS PAC ID: 8325266489 Enrollment ID: I20151201001118 |
| Provider Name | Sujata S Balulad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952501454 PECOS PAC ID: 3375694359 Enrollment ID: I20170731003563 |
| Provider Name | Thomas B Reilly |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750574299 PECOS PAC ID: 0749573830 Enrollment ID: I20180208000675 |
| Provider Name | Luis A Alvarado Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265481733 PECOS PAC ID: 0042571937 Enrollment ID: I20180312001099 |
| Provider Name | Carlos R Ramirez-ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194793166 PECOS PAC ID: 9638260953 Enrollment ID: I20180829003722 |
| Provider Name | Lynn Marie Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487002895 PECOS PAC ID: 4981945284 Enrollment ID: I20190416000029 |
| Provider Name | Varendra Jamwant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205358777 PECOS PAC ID: 4587990601 Enrollment ID: I20190729000116 |
| Provider Name | Yodsui Linaida Llop |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427663236 PECOS PAC ID: 2062820186 Enrollment ID: I20210409000201 |
| Provider Name | Trisha Khanna |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427554203 PECOS PAC ID: 6406289461 Enrollment ID: I20220705002542 |
| Provider Name | Atef Wasef |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730140542 PECOS PAC ID: 0446215347 Enrollment ID: I20230831004650 |
| Provider Name | Ritika Ohri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295175362 PECOS PAC ID: 7517240898 Enrollment ID: I20231211003532 |
| Provider Name | John Samaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225325988 PECOS PAC ID: 9133413164 Enrollment ID: I20231220003576 |
| Provider Name | Kim Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700571395 PECOS PAC ID: 5092163774 Enrollment ID: I20240502001540 |
Martinez Cruz Medical Associates Of The Villages Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441, Bldg 920 Ste 922, The Villages, FL 32159 Phone: 352-750-6650 Fax: 352-750-6651 | |
Bethsaida Healthcare System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Old Camp Rd Ste 144, The Villages, FL 32162 Phone: 352-753-2224 Fax: 353-753-0833 | |
The Villages Regional Hospital East Campus Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1830, The Villages, FL 32159 Phone: 352-751-8828 | |
Premier Medical Associates Of Florida Healthcare, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 | |
Life Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, 1702, The Villages, FL 32159 Phone: 352-750-4333 Fax: 352-750-2034 | |
The Villages Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1404, The Villages, FL 32159 Phone: 352-350-2136 Fax: 352-350-2137 | |
Premier Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, Suite C, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 |