| Thakkar Patel & Avalos Md's Llc | |
|
3581 S Highlands Ave Sebring FL 33870-5410 | |
| (863) 385-5129 | |
| (863) 385-7162 |
| Full Name | Thakkar Patel & Avalos Md's Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3581 S Highlands Ave, Sebring, Florida |
| Authorized Official Name and Position | Vinod C Thakkar (PRESIDENT) |
| Authorized Official Contact | 8633855129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thakkar Patel & Avalos Md's Llc 3581 S Highlands Ave Sebring FL 33870-5410 Ph: (863) 385-5129 | Thakkar Patel & Avalos Md's Llc 3581 S Highlands Ave Sebring FL 33870-5410 Ph: (863) 385-5129 |
| NPI Number | 1972565612 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 11/16/2010 |
| Medicare PECOS PAC ID | 5294755617 |
|---|---|
| Medicare Enrollment ID | O20051130000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972565612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Gerard Arria-devoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689647364 PECOS PAC ID: 9638071228 Enrollment ID: I20040123000575 |
| Provider Name | Francesco Ferretti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811969645 PECOS PAC ID: 2466347570 Enrollment ID: I20040218000264 |
| Provider Name | Sharon Walter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992743256 PECOS PAC ID: 7315900461 Enrollment ID: I20041109000955 |
| Provider Name | Michael D Palsgrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356347595 PECOS PAC ID: 3678523446 Enrollment ID: I20050128000715 |
| Provider Name | Marianna Szabo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710905468 PECOS PAC ID: 8224089180 Enrollment ID: I20050208000723 |
| Provider Name | Martin E Avalos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033101985 PECOS PAC ID: 3476585670 Enrollment ID: I20050908000846 |
| Provider Name | Vinod Thakkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497717185 PECOS PAC ID: 5597669267 Enrollment ID: I20051201000112 |
| Provider Name | Pankaj J Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053374256 PECOS PAC ID: 5193745511 Enrollment ID: I20051201000142 |
| Provider Name | James K Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073592812 PECOS PAC ID: 6305855768 Enrollment ID: I20060418000162 |
| Provider Name | Martin R Austria |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902885999 PECOS PAC ID: 8426067588 Enrollment ID: I20060418000447 |
| Provider Name | Behjat Kouchekzadeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538186549 PECOS PAC ID: 7315945680 Enrollment ID: I20061121000099 |
| Provider Name | Nancie L Nickless |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245349000 PECOS PAC ID: 8729163670 Enrollment ID: I20080317000479 |
| Provider Name | Gary Montsdeoca |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508899402 PECOS PAC ID: 1759456478 Enrollment ID: I20080814000616 |
| Provider Name | Amanda C Sager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891729067 PECOS PAC ID: 5294739157 Enrollment ID: I20080827000057 |
| Provider Name | Mohammad Abuel Haija |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518121888 PECOS PAC ID: 8527199629 Enrollment ID: I20110119000374 |
| Provider Name | Gert Smalberger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649435363 PECOS PAC ID: 1951571991 Enrollment ID: I20110830000191 |
| Provider Name | Milver Salinas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043506983 PECOS PAC ID: 1759552276 Enrollment ID: I20110913000849 |
| Provider Name | Philippine K Brooke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194949339 PECOS PAC ID: 0042200313 Enrollment ID: I20111011000131 |
| Provider Name | Bonnie K Muhlbaier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104109925 PECOS PAC ID: 0749456408 Enrollment ID: I20111229000610 |
| Provider Name | Mike L Nickless |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023360013 PECOS PAC ID: 6709187909 Enrollment ID: I20161011002789 |
| Provider Name | Corey E Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568834224 PECOS PAC ID: 7012297369 Enrollment ID: I20161205000024 |
| Provider Name | Ariana R Hernandez Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235500117 PECOS PAC ID: 2264718709 Enrollment ID: I20170417001114 |
| Provider Name | Zechariah Paolo Martinez Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124569751 PECOS PAC ID: 7214200179 Enrollment ID: I20170829002311 |
| Provider Name | Shelby P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952810186 PECOS PAC ID: 8921373572 Enrollment ID: I20171006001350 |
| Provider Name | Marla Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164693 PECOS PAC ID: 1951666353 Enrollment ID: I20180606002299 |
| Provider Name | Amy N De La Fuente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364300 PECOS PAC ID: 8921358292 Enrollment ID: I20180906002787 |
| Provider Name | Ana L Coelho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457471666 PECOS PAC ID: 4486986924 Enrollment ID: I20191101000998 |
| Provider Name | Juan Mercado |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922362516 PECOS PAC ID: 6305157926 Enrollment ID: I20200116002258 |
| Provider Name | Kindall T Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720630098 PECOS PAC ID: 0446686927 Enrollment ID: I20200204000314 |
| Provider Name | Archi Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710368501 PECOS PAC ID: 7618390063 Enrollment ID: I20200702000696 |
| Provider Name | Amber J Hutchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851917785 PECOS PAC ID: 9638594856 Enrollment ID: I20200805002467 |
| Provider Name | Jennifer Lynn Wickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013463074 PECOS PAC ID: 4082016837 Enrollment ID: I20210715002775 |
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