| Verimed Health Group Carrollwood, Llc | |
|
8521 N Armenia Ave Tampa FL 33604-2540 | |
| (813) 932-0996 | |
| (813) 932-0266 |
| Full Name | Verimed Health Group Carrollwood, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8521 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Gina Perez (OFFICE MANAGER) |
| Authorized Official Contact | 8139320996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Carrollwood, Llc 8521 N Armenia Ave Tampa FL 33604-2540 Ph: (813) 932-0996 | Verimed Health Group Carrollwood, Llc 8521 N Armenia Ave Tampa FL 33604-2540 Ph: (813) 932-0996 |
| NPI Number | 1336268788 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/07/2016 |
| Medicare PECOS PAC ID | 5890886667 |
|---|---|
| Medicare Enrollment ID | O20070808000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336268788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0076006 (Florida) | Primary |
| Provider Name | Hector Manuel Maldonado Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366494957 PECOS PAC ID: 1951299767 Enrollment ID: I20040304000877 |
| Provider Name | Jorge T Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431447 PECOS PAC ID: 4385645167 Enrollment ID: I20070122000367 |
| Provider Name | Auxi Peachey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356439509 PECOS PAC ID: 7911000625 Enrollment ID: I20070319000458 |
| Provider Name | Fernando Diaz Mori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093972143 PECOS PAC ID: 8527134238 Enrollment ID: I20091222000571 |
| Provider Name | Barbara Calderon-vizcarrondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104050640 PECOS PAC ID: 5890923254 Enrollment ID: I20140325001078 |
| Provider Name | Francis J Mercado-miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821654153 PECOS PAC ID: 5496170516 Enrollment ID: I20200806002894 |
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