Tuya Pa | |
13230 Us Highway 1 Sebastian FL 32958-3748 | |
(772) 589-0300 | |
(772) 589-4550 |
Full Name | Tuya Pa |
---|---|
Speciality | Internal Medicine |
Location | 13230 Us Highway 1, Sebastian, Florida |
Authorized Official Name and Position | Guillermo F Morel (PRESIDENT) |
Authorized Official Contact | 7725890300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tuya Pa 13230 Us Highway 1 Sebastian FL 32958-3748 Ph: (772) 589-0300 | Tuya Pa 13230 Us Highway 1 Sebastian FL 32958-3748 Ph: (772) 589-0300 |
NPI Number | 1831461730 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 01/20/2016 |
Medicare PECOS PAC ID | 8123281003 |
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Medicare Enrollment ID | O20120514000475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831461730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Eileen Fermin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265553325 PECOS PAC ID: 1557447281 Enrollment ID: I20080320000700 |
Provider Name | Guillermo F Morel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992827091 PECOS PAC ID: 2466538194 Enrollment ID: I20080320000703 |
Provider Name | Haley Ann Gardner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265139463 PECOS PAC ID: 8527433614 Enrollment ID: I20230403000881 |
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