| Kenneth J Urban, MD | |
|
1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | |
| (772) 398-1800 | |
| (772) 398-1815 |
| Full Name | Kenneth J Urban |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1651 Se Tiffany Ave, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609884899 | NPI | - | NPPES |
| 0372366600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME33161 (Florida) | Primary |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | West Boynton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Urban, MD Po Box 417, Stuart, FL 34995-0417 Ph: (772) 223-5665 | Kenneth J Urban, MD 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 Ph: (772) 398-1800 |
Dr. Adan Fernando Hernandez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-237-0813 Fax: 772-238-2004 | |
Isabel Teresa Casariego Cruz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1828 | |
Dr. David A. Hurst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Nw Lake Whitney Pl, Port St Lucie, FL 34986 Phone: 772-335-9600 | |
Dr. Pablo H Tirado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Suite 200, Port St Lucie, FL 34952 Phone: 772-335-9600 Fax: 772-398-7951 | |
Dr. Lisa Akiye Yamamoto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1825 | |
Dr. Konstantin Alekseyenko, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 Phone: 772-344-3811 Fax: 772-344-3890 | |
Wojciech Marek Roczniak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 |