Thse - Marco Urgent Care Llc | |
40 S Heathwood Dr Marco Island FL 34145-5026 | |
(239) 394-8234 | |
Not Available |
Full Name | Thse - Marco Urgent Care Llc |
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Speciality | Internal Medicine |
Location | 40 S Heathwood Dr, Marco Island, Florida |
Authorized Official Name and Position | Michael D Corvini (PRESIDENT) |
Authorized Official Contact | 8004243672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thse - Marco Urgent Care Llc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Thse - Marco Urgent Care Llc 40 S Heathwood Dr Marco Island FL 34145-5026 Ph: (239) 394-8234 |
NPI Number | 1801125331 |
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Provider Enumeration Date | 12/11/2009 |
Last Update Date | 09/29/2020 |
Medicare PECOS PAC ID | 8921131475 |
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Medicare Enrollment ID | O20100804000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801125331 | NPI | - | NPPES |
000JT | Other | FL | BLUE CROSS FL |
002393100 | Medicaid | FL |
Provider Name | Petrija Jen |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124125471 PECOS PAC ID: 4082515812 Enrollment ID: I20040115000706 |
Provider Name | Tamra Ocasio Camina |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1821109216 PECOS PAC ID: 5890751994 Enrollment ID: I20041209000298 |
Provider Name | John Patrick Lewis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548357437 PECOS PAC ID: 7911950993 Enrollment ID: I20050308000549 |
Provider Name | Jose Alberto Arosemena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902831522 PECOS PAC ID: 6406800978 Enrollment ID: I20050308000578 |
Provider Name | Jack Derovanesian |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073567186 PECOS PAC ID: 0941254452 Enrollment ID: I20050308000821 |
Provider Name | Carolyn Marie Walters |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497764930 PECOS PAC ID: 1355395872 Enrollment ID: I20050308000942 |
Provider Name | Cyril A Morello |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962462614 PECOS PAC ID: 8325086374 Enrollment ID: I20050420000491 |
Provider Name | Tabitha Cleary Williams |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992761878 PECOS PAC ID: 8426098658 Enrollment ID: I20050506000642 |
Provider Name | Sheryle D Wellen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548224918 PECOS PAC ID: 1456391424 Enrollment ID: I20050510000029 |
Provider Name | Nancy Elizabeth Iott |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497853048 PECOS PAC ID: 8123068061 Enrollment ID: I20050510000562 |
Provider Name | Frank A Ruisi |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548203581 PECOS PAC ID: 9931140357 Enrollment ID: I20050517000032 |
Provider Name | Todd Bethel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942392709 PECOS PAC ID: 0648228122 Enrollment ID: I20050913000111 |
Provider Name | Christopher Maritato |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1538186317 PECOS PAC ID: 7517991599 Enrollment ID: I20050920000231 |
Provider Name | Joel Friedman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912974981 PECOS PAC ID: 7012933476 Enrollment ID: I20051015000054 |
Provider Name | Peter G Davis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457379646 PECOS PAC ID: 6305860222 Enrollment ID: I20060118000916 |
Provider Name | Edward John Lucas |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1659301109 PECOS PAC ID: 2062415060 Enrollment ID: I20060811000443 |
Provider Name | Seth J Marquit |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588694798 PECOS PAC ID: 8022015304 Enrollment ID: I20061030000297 |
Provider Name | Jeffrey A Panozzo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1033181847 PECOS PAC ID: 4880620830 Enrollment ID: I20070202000361 |
Provider Name | Yong J Lee |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811033228 PECOS PAC ID: 0547353419 Enrollment ID: I20070908000043 |
Provider Name | Kevin D Encarnacion |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548248115 PECOS PAC ID: 4789692039 Enrollment ID: I20090929000074 |
Provider Name | Val L Richey-klein |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518053651 PECOS PAC ID: 2961537824 Enrollment ID: I20100317000266 |
Provider Name | John W Zelahy |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1932183696 PECOS PAC ID: 9234311291 Enrollment ID: I20110311000450 |
Provider Name | Jim O Omatseye |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1083906028 PECOS PAC ID: 9234307430 Enrollment ID: I20110713000756 |
Provider Name | Nancy Goodwin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861679227 PECOS PAC ID: 6103902242 Enrollment ID: I20120104000855 |
Provider Name | Bobak Rahmanian |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124068325 PECOS PAC ID: 5890715643 Enrollment ID: I20120220000687 |
Provider Name | Julia Lee |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205121878 PECOS PAC ID: 1153591565 Enrollment ID: I20120328000348 |
Provider Name | Kathryn Grace Mccoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952406936 PECOS PAC ID: 7315043593 Enrollment ID: I20120515000164 |
Provider Name | Eric Chapman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851533525 PECOS PAC ID: 7012172216 Enrollment ID: I20120712000565 |
Provider Name | Jennifer Dawn Logan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598039984 PECOS PAC ID: 6103071139 Enrollment ID: I20130225000050 |
Provider Name | Garth Todd Adkins |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346348059 PECOS PAC ID: 2163476722 Enrollment ID: I20130613000278 |
Provider Name | Sean Crowley |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558682955 PECOS PAC ID: 7214191246 Enrollment ID: I20130725000716 |
Provider Name | Carolyn E Johnstone |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750601035 PECOS PAC ID: 5597909317 Enrollment ID: I20130918000195 |
Provider Name | Lurline M Walters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396852810 PECOS PAC ID: 4082719497 Enrollment ID: I20131107000936 |
Provider Name | Rebecca A Miknaitis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225294978 PECOS PAC ID: 9537207121 Enrollment ID: I20140107000096 |
Provider Name | Shawn C Patterson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427219955 PECOS PAC ID: 6709054026 Enrollment ID: I20140623002129 |
Provider Name | Robert Michael Scileppi |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093975955 PECOS PAC ID: 5092965301 Enrollment ID: I20140707000908 |
Provider Name | Frederick F Broniak |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164465621 PECOS PAC ID: 6204917107 Enrollment ID: I20140823000195 |
Provider Name | Michele C Garlough |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366798670 PECOS PAC ID: 8426201005 Enrollment ID: I20141013001816 |
Provider Name | Aldo Gutierrez |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093068462 PECOS PAC ID: 5698084606 Enrollment ID: I20151014000599 |
Provider Name | Christopher Alan Toney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356726848 PECOS PAC ID: 3577863695 Enrollment ID: I20151121000335 |
Provider Name | Edwin F Slott |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447265996 PECOS PAC ID: 1951394824 Enrollment ID: I20151219000076 |
Provider Name | Sophia Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427425297 PECOS PAC ID: 4385940428 Enrollment ID: I20160315002536 |
Provider Name | Stephen James Lozier |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174968473 PECOS PAC ID: 1557661485 Enrollment ID: I20160628001055 |
Provider Name | Erin Rose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457715757 PECOS PAC ID: 1850682444 Enrollment ID: I20160629001945 |
Provider Name | Camille Ann Doan |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639460900 PECOS PAC ID: 7214159813 Enrollment ID: I20160725000439 |
Provider Name | Benjamin Abo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376885509 PECOS PAC ID: 6103110366 Enrollment ID: I20160810001848 |
Provider Name | Vesta Anilus |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386909406 PECOS PAC ID: 3577878578 Enrollment ID: I20160920002030 |
Provider Name | Mareril Wheeler |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124391149 PECOS PAC ID: 7618110933 Enrollment ID: I20161107002118 |
Provider Name | Christopher Dallam Mcardle |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1326091265 PECOS PAC ID: 3870505159 Enrollment ID: I20161214000192 |
Provider Name | Timur Kouliev |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669664892 PECOS PAC ID: 8921192808 Enrollment ID: I20170130002119 |
Provider Name | Anthony R Conti |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215964291 PECOS PAC ID: 4789622895 Enrollment ID: I20170419001014 |
Provider Name | Justin B Klein |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1528495587 PECOS PAC ID: 3779860986 Enrollment ID: I20170425002552 |
Provider Name | Gina Lafountain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730356668 PECOS PAC ID: 3678546389 Enrollment ID: I20170522000310 |
Provider Name | Jigarkumar Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316485592 PECOS PAC ID: 6608144613 Enrollment ID: I20170615002555 |
Provider Name | Patricia Enid Gardner |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871643791 PECOS PAC ID: 0840223889 Enrollment ID: I20170718001311 |
Provider Name | Kenneth D Krabacher |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902224066 PECOS PAC ID: 3476853847 Enrollment ID: I20170815000426 |
Provider Name | Donna Pulliam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013389824 PECOS PAC ID: 7810289618 Enrollment ID: I20170913000394 |
Provider Name | Andrew M Gurien |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629025408 PECOS PAC ID: 3173513553 Enrollment ID: I20171116002300 |
Provider Name | Diana Maria Macian |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780730424 PECOS PAC ID: 4981842432 Enrollment ID: I20171214002297 |
Provider Name | Jesus Cardenas Alvarez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669995379 PECOS PAC ID: 9830458488 Enrollment ID: I20180105001180 |
Provider Name | Kristoffer T Farrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740220946 PECOS PAC ID: 3779612908 Enrollment ID: I20180206000489 |
Provider Name | Michelle Lyn Mendoza |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1265633648 PECOS PAC ID: 8123194578 Enrollment ID: I20180809000912 |
Provider Name | Jane E Reid |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20181106001756 |
Provider Name | Victor A Ramos |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861785941 PECOS PAC ID: 4082974282 Enrollment ID: I20181127002060 |
Provider Name | Ashley R D'orazio Bradfield |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912319633 PECOS PAC ID: 1658615760 Enrollment ID: I20181130000353 |
Provider Name | Michelle L Hollenbeck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235614991 PECOS PAC ID: 0244574994 Enrollment ID: I20181206000889 |
Provider Name | Lauren Cassell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629464920 PECOS PAC ID: 8921356601 Enrollment ID: I20181228001193 |
Provider Name | Lindsay M Alcantara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295218048 PECOS PAC ID: 3072859354 Enrollment ID: I20190108000158 |
Provider Name | Kathryn M Guffrey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144512252 PECOS PAC ID: 5799906780 Enrollment ID: I20190109000759 |
Provider Name | Michael R Crum |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912352030 PECOS PAC ID: 0446540660 Enrollment ID: I20190827004020 |
Provider Name | Jacob Frier |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407201734 PECOS PAC ID: 1456698091 Enrollment ID: I20190906000359 |
Provider Name | Joseph J Violaris |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073968368 PECOS PAC ID: 8123314705 Enrollment ID: I20190911003800 |
Provider Name | Vikram J Malkani |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942243282 PECOS PAC ID: 4981593969 Enrollment ID: I20200415001211 |
Provider Name | Tracy M Bishop |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295172815 PECOS PAC ID: 6204075153 Enrollment ID: I20200427002092 |
Provider Name | Anne Caroline Garnier Norman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1083880132 PECOS PAC ID: 2567587124 Enrollment ID: I20201021001738 |
Provider Name | Joel R Wussow |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598023749 PECOS PAC ID: 5698068286 Enrollment ID: I20210817001932 |
Provider Name | Zachariah Hatoum |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184120008 PECOS PAC ID: 3476896945 Enrollment ID: I20210827000706 |
Provider Name | Dylan Randall Martin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134650906 PECOS PAC ID: 9234534314 Enrollment ID: I20210827001272 |
Provider Name | Martin Vincent Gaccione |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427554930 PECOS PAC ID: 5890190896 Enrollment ID: I20210827002540 |
Provider Name | Jahan Rad |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629573290 PECOS PAC ID: 5890047336 Enrollment ID: I20210927000180 |
Provider Name | Brandon J Heiberger |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568422004 PECOS PAC ID: 1153225834 Enrollment ID: I20211201002782 |
Provider Name | Benjamin Joseph Lehr |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427541333 PECOS PAC ID: 1557617644 Enrollment ID: I20211207001274 |
Provider Name | Stephen Ferraresi |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396131843 PECOS PAC ID: 5193031813 Enrollment ID: I20211213001821 |
Provider Name | Yoldez A Meroueh |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578096723 PECOS PAC ID: 7315298569 Enrollment ID: I20211230000822 |
Provider Name | Trung Bao Le |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386077279 PECOS PAC ID: 6406160274 Enrollment ID: I20221129001881 |
Provider Name | Vanessa Sabri Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356058622 PECOS PAC ID: 9830561307 Enrollment ID: I20230209001042 |
Provider Name | Kayur Vithalbhai Patel |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366481947 PECOS PAC ID: 6305817313 Enrollment ID: I20230221001765 |
Provider Name | Nabil Elie Khoury |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497836548 PECOS PAC ID: 4385811603 Enrollment ID: I20230315000080 |
Provider Name | Ashley Rose Humphries |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457706566 PECOS PAC ID: 0941593099 Enrollment ID: I20230424001891 |
Provider Name | Lori Gauthier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164749917 PECOS PAC ID: 8022205301 Enrollment ID: I20230726002439 |
Provider Name | Taylor Michael Lynch |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1265051437 PECOS PAC ID: 3274995915 Enrollment ID: I20230814000737 |
Provider Name | Travis Esposito |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1245895952 PECOS PAC ID: 1557786852 Enrollment ID: I20230816000629 |
Provider Name | Jeffrey Scott Gudes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1508272220 PECOS PAC ID: 5799052528 Enrollment ID: I20240520003827 |
Provider Name | Kenji Oyasu |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487768552 PECOS PAC ID: 9739285941 Enrollment ID: I20240603000165 |
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