Spring Hill Hma Medical Group, Llc | |
120 Medical Blvd Suite 106 Spring Hill FL 34609-0220 | |
(239) 598-3131 | |
(239) 598-9433 |
Full Name | Spring Hill Hma Medical Group, Llc |
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Speciality | Internal Medicine |
Location | 120 Medical Blvd, Spring Hill, Florida |
Authorized Official Name and Position | Jennifer Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spring Hill Hma Medical Group, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2704 Ph: (239) 598-3131 | Spring Hill Hma Medical Group, Llc 120 Medical Blvd Suite 106 Spring Hill FL 34609-0220 Ph: (239) 598-3131 |
NPI Number | 1194053264 |
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Provider Enumeration Date | 11/30/2009 |
Last Update Date | 03/18/2022 |
Medicare PECOS PAC ID | 1153463054 |
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Medicare Enrollment ID | O20100114000641 |
Identifier | Type | State | Issuer |
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1194053264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Hancock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083641070 PECOS PAC ID: 9931192069 Enrollment ID: I20040405001885 |
Provider Name | Laurian V Mohai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750326013 PECOS PAC ID: 4385637412 Enrollment ID: I20101025000609 |
Provider Name | Leslie A. Wagenberg-grella |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518240456 PECOS PAC ID: 0749182376 Enrollment ID: I20120327000203 |
Provider Name | Santosh Potdar |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1790740041 PECOS PAC ID: 1355233743 Enrollment ID: I20130917000212 |
Provider Name | George T Tsai |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770541021 PECOS PAC ID: 6406892694 Enrollment ID: I20161107001177 |
Maria J. Prieto, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4327 Hedgewood Ave, Spring Hill, FL 34608 Phone: 352-428-5353 Fax: 813-978-8577 | |
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Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8425 Northcliffe Blvd Ste 104, Spring Hill, FL 34606 Phone: 352-688-6346 Fax: 352-688-9103 | |
Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8425 Northcliffe Blvd Ste 105, Spring Hill, FL 34606 Phone: 352-683-7362 Fax: 352-683-7364 | |
Access Healthcare Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8466 Northcliffe Blvd, Spring Hill, FL 34606 Phone: 352-666-2222 Fax: 352-683-7284 | |
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