| Verimed Health Group Brandon, Llc | |
|
500 Vonderburg Dr Ste 310 Brandon FL 33511-5978 | |
| (813) 324-9463 | |
| (813) 502-6385 |
| Full Name | Verimed Health Group Brandon, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Vonderburg Dr Ste 310, Brandon, Florida |
| Authorized Official Name and Position | Jamie Lee Pino (ADMINISTRATOR) |
| Authorized Official Contact | 8133249463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Brandon, Llc 500 Vonderburg Dr Ste 310 Brandon FL 33511-5978 Ph: (813) 324-9463 | Verimed Health Group Brandon, Llc 500 Vonderburg Dr Ste 310 Brandon FL 33511-5978 Ph: (813) 324-9463 |
| NPI Number | 1003392390 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 3678817863 |
|---|---|
| Medicare Enrollment ID | O20181128002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003392390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| Provider Name | Esther M Avellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881015519 PECOS PAC ID: 9537398722 Enrollment ID: I20140211000709 |
| Provider Name | Osmani Piloto Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487085254 PECOS PAC ID: 4082833298 Enrollment ID: I20140922001326 |
| Provider Name | Camilla Ruth Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235783218 PECOS PAC ID: 8729485867 Enrollment ID: I20210916001289 |
| Provider Name | Harry Hyun Sik Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942228382 PECOS PAC ID: 7113929381 Enrollment ID: I20230322003044 |
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