| Rhc St Pete Llc | |
|
5999 Central Ave Ste 103 St Petersburg FL 33710-8535 | |
| (813) 460-2098 | |
| Not Available |
| Full Name | Rhc St Pete Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5999 Central Ave Ste 103, St Petersburg, Florida |
| Authorized Official Name and Position | Eddie Murgasen (MANAGING MEMBER) |
| Authorized Official Contact | 8134602098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhc St Pete Llc 5999 Central Ave Ste 103 St Petersburg FL 33710-8535 Ph: (813) 460-2098 | Rhc St Pete Llc 5999 Central Ave Ste 103 St Petersburg FL 33710-8535 Ph: (813) 460-2098 |
| NPI Number | 1053919951 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 8224442249 |
|---|---|
| Medicare Enrollment ID | O20210202001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053919951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eddie Irfan Murgasen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336529437 PECOS PAC ID: 8325342298 Enrollment ID: I20181017000612 |
| Provider Name | Marcella A Caro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529094 PECOS PAC ID: 2961747514 Enrollment ID: I20181231000523 |
| Provider Name | Courtney O'connell Tibbetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740820653 PECOS PAC ID: 1850712704 Enrollment ID: I20200601000950 |
| Provider Name | Mirela Hadzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295321644 PECOS PAC ID: 3476967233 Enrollment ID: I20210208000218 |
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