Verimed Health Group Bradenton Llc | |
300 Riverside Dr E Suite 3900 Bradenton FL 34208-1008 | |
(813) 415-5038 | |
Not Available |
Full Name | Verimed Health Group Bradenton Llc |
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Speciality | Clinic/Center |
Location | 300 Riverside Dr E, Bradenton, Florida |
Authorized Official Name and Position | Rennee Calogero (ADMINISTRATOR) |
Authorized Official Contact | 8138337226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Verimed Health Group Bradenton Llc 300 Riverside Dr. Suite 3900 Bradenton FL 34208 Ph: (813) 415-5038 | Verimed Health Group Bradenton Llc 300 Riverside Dr E Suite 3900 Bradenton FL 34208-1008 Ph: (813) 415-5038 |
NPI Number | 1023422391 |
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Provider Enumeration Date | 06/16/2014 |
Last Update Date | 03/31/2022 |
Medicare PECOS PAC ID | 7911128053 |
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Medicare Enrollment ID | O20141015000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023422391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
Provider Name | Jeffrey Siegal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316127574 PECOS PAC ID: 1850473034 Enrollment ID: I20080126000143 |
Provider Name | Arlenne J Ponce-mendez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609213925 PECOS PAC ID: 2062761679 Enrollment ID: I20180815001186 |
Provider Name | Miguel A Prado Gomez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811595002 PECOS PAC ID: 6103238308 Enrollment ID: I20201211001609 |
Provider Name | Collins Ezeuka |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730522590 PECOS PAC ID: 7214033695 Enrollment ID: I20220308003010 |
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