| Verimed Health Group South Tampa Llc | |
|
2919 W Swann Ave Ste 400a Tampa FL 33609-4082 | |
| (813) 871-2959 | |
| Not Available |
| Full Name | Verimed Health Group South Tampa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2919 W Swann Ave Ste 400a, Tampa, Florida |
| Authorized Official Name and Position | Gladymar Vrkic (ADMINISTRATOR) |
| Authorized Official Contact | 8138712959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group South Tampa Llc 2919 W Swann Ave Ste 400a Tampa FL 33609-4082 Ph: (813) 871-2959 | Verimed Health Group South Tampa Llc 2919 W Swann Ave Ste 400a Tampa FL 33609-4082 Ph: (813) 871-2959 |
| NPI Number | 1801140561 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 10/25/2013 |
| Medicare PECOS PAC ID | 3678709078 |
|---|---|
| Medicare Enrollment ID | O20131113000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801140561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manish B Baria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235111519 PECOS PAC ID: 7113995572 Enrollment ID: I20040922001235 |
| Provider Name | Nadia A Jivani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245204254 PECOS PAC ID: 1052436037 Enrollment ID: I20100914000958 |
| Provider Name | Jennie Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750770442 PECOS PAC ID: 1658659487 Enrollment ID: I20170504001441 |
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