| St Cloud Physician Management Llc | |
|
1600 Budinger Ave Suite D Saint Cloud FL 34769-6008 | |
| (407) 892-3387 | |
| (407) 892-7297 |
| Full Name | St Cloud Physician Management Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Budinger Ave, Saint Cloud, Florida |
| Authorized Official Name and Position | Angelina Cedeno (MANAGER) |
| Authorized Official Contact | 4074817174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Cloud Physician Management Llc 52 W Underwood St Orlando FL 32806-1110 Ph: (321) 841-2452 | St Cloud Physician Management Llc 1600 Budinger Ave Suite D Saint Cloud FL 34769-6008 Ph: (407) 892-3387 |
| NPI Number | 1245289578 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 07/02/2020 |
| Medicare PECOS PAC ID | 2365545662 |
|---|---|
| Medicare Enrollment ID | O20070306000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245289578 | NPI | - | NPPES |
| Provider Name | Bettye A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558458729 PECOS PAC ID: 1052212727 Enrollment ID: I20040115000936 |
| Provider Name | Lori A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447268370 PECOS PAC ID: 4981687019 Enrollment ID: I20040610000510 |
| Provider Name | Pearl S Huang Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720096647 PECOS PAC ID: 8628098175 Enrollment ID: I20051130000092 |
| Provider Name | John R Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104834027 PECOS PAC ID: 3678556701 Enrollment ID: I20051130000130 |
| Provider Name | Pawel Zelenski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609846633 PECOS PAC ID: 7810090412 Enrollment ID: I20070320000653 |
| Provider Name | Peter T Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861462665 PECOS PAC ID: 5991808594 Enrollment ID: I20070320000662 |
| Provider Name | Martin Omalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083684013 PECOS PAC ID: 8527161025 Enrollment ID: I20070320000679 |
| Provider Name | Robert N Capobianco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477538460 PECOS PAC ID: 8426151929 Enrollment ID: I20070320000689 |
| Provider Name | Axel Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972659225 PECOS PAC ID: 7517068109 Enrollment ID: I20070726000519 |
| Provider Name | Thuong Hoai Trinh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831308907 PECOS PAC ID: 5193889897 Enrollment ID: I20090124000036 |
| Provider Name | Rodolfo E Aldir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225039100 PECOS PAC ID: 6901950666 Enrollment ID: I20090813000832 |
| Provider Name | Arlene M Palazzolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295833564 PECOS PAC ID: 7810026770 Enrollment ID: I20100602000625 |
| Provider Name | Kristine M Trout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902908122 PECOS PAC ID: 0446258966 Enrollment ID: I20100615000023 |
| Provider Name | Patrick William Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831225036 PECOS PAC ID: 0042317984 Enrollment ID: I20130722000057 |
| Provider Name | Adonis Lysandrou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881989598 PECOS PAC ID: 0143464578 Enrollment ID: I20130924000922 |
| Provider Name | Martha C Aragon Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891083192 PECOS PAC ID: 6901022680 Enrollment ID: I20140801002066 |
| Provider Name | Jeanphis Laguerre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609075068 PECOS PAC ID: 5991890550 Enrollment ID: I20141121001384 |
| Provider Name | Marilyn Chavannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972970374 PECOS PAC ID: 6507175700 Enrollment ID: I20151028001651 |
| Provider Name | Mangesh Shukla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881625333 PECOS PAC ID: 4284526328 Enrollment ID: I20160420001407 |
| Provider Name | Lukasz Gierut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770929010 PECOS PAC ID: 2668605395 Enrollment ID: I20161111000840 |
| Provider Name | Om S Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588957435 PECOS PAC ID: 6002068897 Enrollment ID: I20170920002033 |
| Provider Name | Tutu Cheng |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447488531 PECOS PAC ID: 6800157413 Enrollment ID: I20180222001439 |
| Provider Name | Mariaah Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881074763 PECOS PAC ID: 3072825157 Enrollment ID: I20181023002261 |
| Provider Name | Susan Lynn Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467959700 PECOS PAC ID: 5092050187 Enrollment ID: I20181218001623 |
| Provider Name | Kathleen Np Palyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982662011 PECOS PAC ID: 5193918340 Enrollment ID: I20190409002914 |
| Provider Name | Neasha Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184814816 PECOS PAC ID: 3678767910 Enrollment ID: I20190411000219 |
| Provider Name | Shriti Masrani Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689801300 PECOS PAC ID: 1153550546 Enrollment ID: I20190412000694 |
| Provider Name | Cora T Yoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285065615 PECOS PAC ID: 9537485057 Enrollment ID: I20190516000802 |
| Provider Name | Aura Melissa Urquia-robles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477849784 PECOS PAC ID: 5193043628 Enrollment ID: I20190809000345 |
| Provider Name | Christine Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003475831 PECOS PAC ID: 1456680172 Enrollment ID: I20190905002337 |
| Provider Name | Chad Ervin Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811017999 PECOS PAC ID: 3476685041 Enrollment ID: I20190913000673 |
| Provider Name | Leslie Nicole Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942843149 PECOS PAC ID: 5597199539 Enrollment ID: I20191227000117 |
| Provider Name | Daryl Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649324625 PECOS PAC ID: 3779801931 Enrollment ID: I20200228002060 |
| Provider Name | David A Melendez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205190683 PECOS PAC ID: 6709183619 Enrollment ID: I20201023001709 |
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