| Sunergy Physicians Llc | |
|
4820 5th Ave N St Petersburg FL 33713-7218 | |
| (727) 280-5767 | |
| (727) 280-5767 |
| Full Name | Sunergy Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4820 5th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Swetaben Patidar (MEMBER) |
| Authorized Official Contact | 6093508949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunergy Physicians Llc 5260 78th Ave N Unit 2616 Pinellas Park FL 33780-8106 Ph: (727) 280-5767 | Sunergy Physicians Llc 4820 5th Ave N St Petersburg FL 33713-7218 Ph: (727) 280-5767 |
| NPI Number | 1386247658 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 0547672776 |
|---|---|
| Medicare Enrollment ID | O20201214000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386247658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela D Louderback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104932896 PECOS PAC ID: 0143294017 Enrollment ID: I20040825001012 |
| Provider Name | Rafael Martin Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164632717 PECOS PAC ID: 7416003827 Enrollment ID: I20161229001817 |
| Provider Name | Lilian Enyonam Ahiable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023329992 PECOS PAC ID: 5294984845 Enrollment ID: I20180716000479 |
| Provider Name | Rishi Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518313170 PECOS PAC ID: 9436486487 Enrollment ID: I20190813003549 |
| Provider Name | Edgar Antonio Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821244039 PECOS PAC ID: 5092026625 Enrollment ID: I20190917000699 |
| Provider Name | Rosmery Victoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447609771 PECOS PAC ID: 4587994215 Enrollment ID: I20190924000796 |
| Provider Name | Lewen Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407612 PECOS PAC ID: 4688896624 Enrollment ID: I20200427001378 |
| Provider Name | Swetaben Patidar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144750258 PECOS PAC ID: 5092127225 Enrollment ID: I20201215000029 |
| Provider Name | Bryan Patrick Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568952869 PECOS PAC ID: 2668862616 Enrollment ID: I20211206001418 |
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