| Purposely Evolving Medical Clinic | |
|
1810 S Pinellas Ave Ste B Tarpon Springs FL 34689-1989 | |
| (727) 937-6060 | |
| (727) 937-6030 |
| Full Name | Purposely Evolving Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1810 S Pinellas Ave Ste B, Tarpon Springs, Florida |
| Authorized Official Name and Position | Dominique Paschal (OWNER) |
| Authorized Official Contact | 7279376060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposely Evolving Medical Clinic 1810 S Pinellas Ave Ste B Tarpon Springs FL 34689-1989 Ph: (727) 937-6060 | Purposely Evolving Medical Clinic 1810 S Pinellas Ave Ste B Tarpon Springs FL 34689-1989 Ph: (727) 937-6060 |
| NPI Number | 1609582782 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 6204201098 |
|---|---|
| Medicare Enrollment ID | O20230410000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609582782 | NPI | - | NPPES |
| 1083178040 | Other | FL | NPI |
| 1013086917 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dominique S Paschal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083178040 PECOS PAC ID: 6305187063 Enrollment ID: I20190405000452 |
Unclouded Mind Behavioral Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 E Lime St, Tarpon Springs, FL 34689 Phone: 727-902-4952 | |
Thomas E. Carson, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1259 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-938-1908 Fax: 727-938-8693 | |
Shereza N. Abdool D.o. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 S Pinellas Ave, Suite P, Tarpon Springs, FL 34689 Phone: 727-940-5278 Fax: 813-464-3113 | |
Marina V Kulick Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1744 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-940-3478 Fax: 727-940-3480 | |
Transform Your Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Pinellas Ave Ste 106, Tarpon Springs, FL 34689 Phone: 727-786-1661 Fax: 727-785-3783 | |
Nicolas Pavouris M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Pinellas Ave, 10, Tarpon Springs, FL 34689 Phone: 727-942-8900 Fax: 727-942-8989 | |
Robert P. D'amico D.o.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2819 Grey Oaks Blvd, Tarpon Springs, FL 34688 Phone: 727-919-3911 |