| Verimed Health Group Bell Shoals, Llc | |
|
1150 Bell Shoals Rd Brandon FL 33511-9001 | |
| (813) 681-6064 | |
| Not Available |
| Full Name | Verimed Health Group Bell Shoals, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 Bell Shoals Rd, Brandon, Florida |
| Authorized Official Name and Position | Martin Revello (CEO) |
| Authorized Official Contact | 8139914000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Bell Shoals, Llc 26838 Tanic Dr Wesley Chapel FL 33544-4617 Ph: (813) 991-4000 | Verimed Health Group Bell Shoals, Llc 1150 Bell Shoals Rd Brandon FL 33511-9001 Ph: (813) 681-6064 |
| NPI Number | 1750018560 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 3375917214 |
|---|---|
| Medicare Enrollment ID | O20230316001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750018560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Luis Alberto Candales Arafet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699423426 PECOS PAC ID: 4880080274 Enrollment ID: I20220412002159 |
| Provider Name | Armando Negron Vera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174592695 PECOS PAC ID: 5991764037 Enrollment ID: I20230508002528 |
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