| Quality Physician Group Pllc | |
|
33049 Professional Dr Ste 103 Leesburg FL 34788-3705 | |
| (352) 353-6967 | |
| Not Available |
| Full Name | Quality Physician Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33049 Professional Dr Ste 103, Leesburg, Florida |
| Authorized Official Name and Position | Sheyla Zelaya-aragon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3523536967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Physician Group Pllc 33049 Professional Dr Ste 103 Leesburg FL 34788-3705 Ph: (352) 446-4227 | Quality Physician Group Pllc 33049 Professional Dr Ste 103 Leesburg FL 34788-3705 Ph: (352) 353-6967 |
| NPI Number | 1164906871 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 7113263260 |
|---|---|
| Medicare Enrollment ID | O20190109003270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164906871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Michael S Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841380623 PECOS PAC ID: 0547269045 Enrollment ID: I20061211000489 |
| Provider Name | Caren Leigh Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689996894 PECOS PAC ID: 3375737471 Enrollment ID: I20101103000129 |
| Provider Name | Ana Karovska Vuchidolov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518271436 PECOS PAC ID: 7214178425 Enrollment ID: I20130731000568 |
| Provider Name | Sheyla K Zelaya Aragon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518285139 PECOS PAC ID: 9133431075 Enrollment ID: I20150706002288 |
| Provider Name | Rosario Rose Caguia Camitoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477219582 PECOS PAC ID: 7517347149 Enrollment ID: I20220629001299 |
| Provider Name | Lajuana D Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316528003 PECOS PAC ID: 7618333634 Enrollment ID: I20230517003157 |
| Provider Name | Remelyn Falle Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194302281 PECOS PAC ID: 1658692611 Enrollment ID: I20230606003114 |
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