| Zephyrhills Family Practice And Geriatric Care, Llc | |
|
7213 Green Slope Dr Zephyrhills FL 33541-1306 | |
| (813) 355-4917 | |
| (855) 547-5415 |
| Full Name | Zephyrhills Family Practice And Geriatric Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7213 Green Slope Dr, Zephyrhills, Florida |
| Authorized Official Name and Position | Cynthia Barrentine (OFFICE MANAGER) |
| Authorized Official Contact | 8133554914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zephyrhills Family Practice And Geriatric Care, Llc Po Box 3268 Zephyrhills FL 33539-3268 Ph: (813) 355-4914 | Zephyrhills Family Practice And Geriatric Care, Llc 7213 Green Slope Dr Zephyrhills FL 33541-1306 Ph: (813) 355-4917 |
| NPI Number | 1154825677 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/30/2018 |
| Medicare PECOS PAC ID | 4981953775 |
|---|---|
| Medicare Enrollment ID | O20180828002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154825677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harry G Blackstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016496 PECOS PAC ID: 1850466731 Enrollment ID: I20080813000158 |
| Provider Name | Joseph W Nystrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629006127 PECOS PAC ID: 5890861942 Enrollment ID: I20080915000090 |
| Provider Name | Roland T Mckendree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841639945 PECOS PAC ID: 6103052683 Enrollment ID: I20131112001759 |
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