Volusia Medical Center Llc | |
3900 Clark Rd Ste L2 Sarasota FL 34233 | |
(386) 424-1584 | |
(888) 215-5481 |
Full Name | Volusia Medical Center Llc |
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Speciality | Family Medicine |
Location | 3900 Clark Rd Ste L2, Sarasota, Florida |
Authorized Official Name and Position | John Yee (OWNER) |
Authorized Official Contact | 3864241584 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Volusia Medical Center Llc 3900 Clark Rd Ste L2 Sarasota FL 34233-2375 Ph: (386) 424-1584 | Volusia Medical Center Llc 3900 Clark Rd Ste L2 Sarasota FL 34233 Ph: (386) 424-1584 |
NPI Number | 1629279138 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 04/10/2020 |
Medicare PECOS PAC ID | 0840370375 |
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Medicare Enrollment ID | O20080109000416 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629279138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME97277 (Florida) | Primary |
Provider Name | Sharon S Shelton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174594295 PECOS PAC ID: 7416945845 Enrollment ID: I20040504001458 |
Provider Name | Steven W Cohen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518018142 PECOS PAC ID: 5395781215 Enrollment ID: I20050630000887 |
Provider Name | Robert W Sessoms |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1053366765 PECOS PAC ID: 3678582376 Enrollment ID: I20060407000131 |
Provider Name | John S Yee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225094071 PECOS PAC ID: 5395763767 Enrollment ID: I20080109000423 |
Provider Name | Priscilla T Luong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760544340 PECOS PAC ID: 2961574827 Enrollment ID: I20080709000521 |
Provider Name | Shellie Graham Lapp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003036278 PECOS PAC ID: 6103970322 Enrollment ID: I20090821000289 |
Provider Name | Hassan Alkhatib |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
Provider Name | Jonathan M Treece |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780978700 PECOS PAC ID: 9638322829 Enrollment ID: I20130122000418 |
Provider Name | Dave Williams |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1467558858 PECOS PAC ID: 7113960949 Enrollment ID: I20200529000585 |
Provider Name | Veronica Dillon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932724739 PECOS PAC ID: 1759794035 Enrollment ID: I20210105002184 |
Provider Name | Noah Benjamin Bigman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306419163 PECOS PAC ID: 8022403096 Enrollment ID: I20220310000942 |
Provider Name | Wen-ling Lin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811585383 PECOS PAC ID: 3173977980 Enrollment ID: I20230928000041 |
Provider Name | Lisa Black |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851484307 PECOS PAC ID: 4082706643 Enrollment ID: I20231108002129 |
Provider Name | Ashley Probasco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285417253 PECOS PAC ID: 6709221476 Enrollment ID: I20240304003480 |
Provider Name | Andrew Michael Granello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679327944 PECOS PAC ID: 2860834082 Enrollment ID: I20240520002730 |
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