| Preventive Cardiology & Internal Medicine Associates, P.l. | |
|
3606 Maclay Blvd S Suite 104 Tallahassee FL 32312-1277 | |
| (850) 766-8496 | |
| Not Available |
| Full Name | Preventive Cardiology & Internal Medicine Associates, P.l. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3606 Maclay Blvd S, Tallahassee, Florida |
| Authorized Official Name and Position | Sandeep Rahangdale (PHYSICIAN) |
| Authorized Official Contact | 8502100593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Cardiology & Internal Medicine Associates, P.l. 3606 Maclay Blvd S Suite 104 Tallahassee FL 32312-1277 Ph: (850) 210-0593 | Preventive Cardiology & Internal Medicine Associates, P.l. 3606 Maclay Blvd S Suite 104 Tallahassee FL 32312-1277 Ph: (850) 766-8496 |
| NPI Number | 1922343466 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 10/09/2015 |
| Medicare PECOS PAC ID | 2961657564 |
|---|---|
| Medicare Enrollment ID | O20130305000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922343466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME72888 (Florida) | Primary |
| Provider Name | Ramel Failma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457361180 PECOS PAC ID: 3375559495 Enrollment ID: I20060228000081 |
| Provider Name | Bobby Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659459808 PECOS PAC ID: 8022112309 Enrollment ID: I20090724000227 |
| Provider Name | Sandeep Rn Rahangdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699776559 PECOS PAC ID: 8527061803 Enrollment ID: I20100610000801 |
| Provider Name | Meghan M Showman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275940116 PECOS PAC ID: 0345467213 Enrollment ID: I20140818000497 |
| Provider Name | Jennifer A Schnippert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801204987 PECOS PAC ID: 3678791589 Enrollment ID: I20140905000757 |
| Provider Name | Brianne M Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205909769 PECOS PAC ID: 4082783766 Enrollment ID: I20181023000573 |
| Provider Name | Ashlee Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063795102 PECOS PAC ID: 7810162963 Enrollment ID: I20191118003021 |
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