Sunset Medical Care, Llc | |
6560 9th Ave N St Petersburg FL 33710-6216 | |
(727) 384-4060 | |
Not Available |
Full Name | Sunset Medical Care, Llc |
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Speciality | Family Medicine |
Location | 6560 9th Ave N, St Petersburg, Florida |
Authorized Official Name and Position | Julije Vucemilovic (OWNER) |
Authorized Official Contact | 7273844080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunset Medical Care, Llc Po Box 2832 Lakeland FL 33806-2832 Ph: (727) 384-4060 | Sunset Medical Care, Llc 6560 9th Ave N St Petersburg FL 33710-6216 Ph: (727) 384-4060 |
NPI Number | 1679574651 |
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Provider Enumeration Date | 08/02/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4183687361 |
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Medicare Enrollment ID | O20061229000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679574651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0062738 (Florida) | Primary |
Provider Name | Julije Vucemilovic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053318329 PECOS PAC ID: 8820070279 Enrollment ID: I20040601001172 |
Provider Name | Vinkica Vucemilovic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801890868 PECOS PAC ID: 4789651548 Enrollment ID: I20040913000520 |
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