| Specialist Doctors Group Llc | |
|
210 N Alexander St Plant City FL 33563-4302 | |
| (813) 752-7222 | |
| (813) 752-7255 |
| Full Name | Specialist Doctors Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 N Alexander St, Plant City, Florida |
| Authorized Official Name and Position | Michael Salvato (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8137527222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialist Doctors Group Llc P.o. Box 770 Lithia FL 33547-0570 Ph: (813) 719-3525 | Specialist Doctors Group Llc 210 N Alexander St Plant City FL 33563-4302 Ph: (813) 752-7222 |
| NPI Number | 1487963864 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 03/23/2015 |
| Medicare PECOS PAC ID | 8123202215 |
|---|---|
| Medicare Enrollment ID | O20110414000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487963864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Florida) | Secondary |
| Provider Name | James D Loebell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700839222 PECOS PAC ID: 8224021829 Enrollment ID: I20040407001661 |
| Provider Name | Eric J Breuggeman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831159136 PECOS PAC ID: 0941236855 Enrollment ID: I20050713000110 |
| Provider Name | Michael A Salvato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952413445 PECOS PAC ID: 0749262145 Enrollment ID: I20080623000532 |
| Provider Name | Helen M Tepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255316881 PECOS PAC ID: 0244392975 Enrollment ID: I20081215000355 |
| Provider Name | Martin T Girling |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003804675 PECOS PAC ID: 1456423219 Enrollment ID: I20110615000854 |
| Provider Name | Laura E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871859439 PECOS PAC ID: 8426212572 Enrollment ID: I20120621000208 |
| Provider Name | Quynh Tram Nhu Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669892402 PECOS PAC ID: 6103041835 Enrollment ID: I20140714000076 |
Joseph Larue Richter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 W Reynolds St, Plant City, FL 33563 Phone: 813-754-4242 Fax: 813-752-0512 | |
Healthpoint Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jim Redman Pkwy, Plant City, FL 33563 Phone: 813-754-4611 Fax: 813-719-8731 | |
Clinical Care Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Oak Ave, Plant City, FL 33563 Phone: 813-284-7903 | |
Z. A. Khan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Plant Ave, Plant City, FL 33563 Phone: 813-754-1871 Fax: 813-754-1872 | |
Suncoast Community Health Center Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Mobley St, Suite 1, Plant City, FL 33563 Phone: 813-349-7654 Fax: 813-349-7655 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 S Alexander St Ste 1, Plant City, FL 33566 Phone: 813-754-3344 Fax: 813-754-3574 | |
Omar Aref Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1707 W Reynolds St, Plant City, FL 33563 Phone: 813-756-5695 Fax: 813-059-3635 |