| The Hospice Of The Florida Suncoast, Inc. | |
|
5771 Roosevelt Blvd Clearwater FL 33760-3407 | |
| (727) 586-4432 | |
| (727) 523-3342 |
| Full Name | The Hospice Of The Florida Suncoast, Inc. |
|---|---|
| Speciality | Hospice Care, Community Based |
| Location | 5771 Roosevelt Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Saida Bouhamid (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7275864432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hospice Of The Florida Suncoast, Inc. 5771 Roosevelt Blvd Clearwater FL 33760-3407 Ph: (727) 586-4432 | The Hospice Of The Florida Suncoast, Inc. 5771 Roosevelt Blvd Clearwater FL 33760-3407 Ph: (727) 586-4432 |
| NPI Number | 1124028204 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 5698677904 |
|---|---|
| Medicare Enrollment ID | O20040126000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124028204 | NPI | - | NPPES |
| 027988903 | Medicaid | FL | |
| 0279889-00 | Medicaid | FL | |
| 027988901 | Medicaid | FL | |
| 027988979 | Medicaid | FL | |
| 087532508 | Medicaid | FL | |
| 682498696 | Medicaid | FL | |
| 087532500 | Medicaid | FL |
| Provider Name | Jeffrey Allen Prosser |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023154515 PECOS PAC ID: 1658393871 Enrollment ID: I20051230000408 |
| Provider Name | Douglas M Baird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538230263 PECOS PAC ID: 1355411414 Enrollment ID: I20080531000017 |
| Provider Name | Susan M Wehr |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770535205 PECOS PAC ID: 7719021724 Enrollment ID: I20100215000244 |
| Provider Name | Juan A Escobales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275519480 PECOS PAC ID: 3577541952 Enrollment ID: I20100721000599 |
| Provider Name | Jennifer L Mistretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982993176 PECOS PAC ID: 9436336096 Enrollment ID: I20110607000780 |
| Provider Name | David Richard Doeringer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619280468 PECOS PAC ID: 9830330810 Enrollment ID: I20130802000682 |
| Provider Name | Kai Rae Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336318518 PECOS PAC ID: 7810032836 Enrollment ID: I20140122000636 |
| Provider Name | Jasmin M Jerez-marte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053358192 PECOS PAC ID: 0749212249 Enrollment ID: I20141027000715 |
| Provider Name | Barbara A Dobron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184743569 PECOS PAC ID: 3577878586 Enrollment ID: I20150820010448 |
| Provider Name | Donald J Gibertini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497771125 PECOS PAC ID: 1153417514 Enrollment ID: I20160224001756 |
| Provider Name | Tanya M Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417114414 PECOS PAC ID: 1355528910 Enrollment ID: I20161227000814 |
| Provider Name | Nicole M Farone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649778366 PECOS PAC ID: 6608137039 Enrollment ID: I20180228001036 |
| Provider Name | Carol Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942617717 PECOS PAC ID: 9931443652 Enrollment ID: I20181207000253 |
| Provider Name | Janet Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518149970 PECOS PAC ID: 5890019111 Enrollment ID: I20190917001514 |
| Provider Name | Paige Vallely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225671886 PECOS PAC ID: 8820425960 Enrollment ID: I20200302000182 |
| Provider Name | Bolanle Elenitoba-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053914937 PECOS PAC ID: 5395140958 Enrollment ID: I20210819001004 |
| Provider Name | Dung Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285388892 PECOS PAC ID: 9739561572 Enrollment ID: I20220727000102 |
| Provider Name | Kaitlyn Gibree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124746334 PECOS PAC ID: 4385010685 Enrollment ID: I20221011002099 |
| Provider Name | Paul A Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951442 PECOS PAC ID: 6103293196 Enrollment ID: I20221103002387 |
| Provider Name | Jane Williams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639404601 PECOS PAC ID: 2668511387 Enrollment ID: I20221104001102 |
| Provider Name | Anne Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417501685 PECOS PAC ID: 2163853243 Enrollment ID: I20221104002009 |
| Provider Name | Samuel T Uzabel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427019918 PECOS PAC ID: 7618904103 Enrollment ID: I20221107002355 |
| Provider Name | Christine A Petzing |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346348265 PECOS PAC ID: 4284683889 Enrollment ID: I20221128003020 |
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