| Verimed Health Group Seminole, Llc | |
|
9555 Seminole Blvd Suite 205 Seminole FL 33772-2562 | |
| (727) 319-8900 | |
| (727) 319-8700 |
| Full Name | Verimed Health Group Seminole, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9555 Seminole Blvd, Seminole, Florida |
| Authorized Official Name and Position | Andrea Maria Lane (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 7275770285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Seminole, Llc 9555 Seminole Blvd Suite 205 Seminole FL 33772-2562 Ph: (727) 319-8900 | Verimed Health Group Seminole, Llc 9555 Seminole Blvd Suite 205 Seminole FL 33772-2562 Ph: (727) 319-8900 |
| NPI Number | 1295033785 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 04/30/2018 |
| Medicare PECOS PAC ID | 8527244292 |
|---|---|
| Medicare Enrollment ID | O20110513000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295033785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS13602 (Florida) | Primary |
| Provider Name | Shari A Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538166269 PECOS PAC ID: 5496817645 Enrollment ID: I20081222000445 |
| Provider Name | Bhiru A Patel-elio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245530443 PECOS PAC ID: 4486840543 Enrollment ID: I20101201000514 |
| Provider Name | Brian Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841371051 PECOS PAC ID: 3476646548 Enrollment ID: I20220118001154 |
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