| Bethsaida Healthcare System Inc | |
|
910 Old Camp Rd Ste 144 The Villages FL 32162-5609 | |
| (352) 753-2224 | |
| (353) 753-0833 |
| Full Name | Bethsaida Healthcare System Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 910 Old Camp Rd Ste 144, The Villages, Florida |
| Authorized Official Name and Position | Felix C Agbo (OWNER) |
| Authorized Official Contact | 3527532224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethsaida Healthcare System Inc 910 Old Camp Rd Ste 144 The Villages FL 32162-5609 Ph: (352) 753-2224 | Bethsaida Healthcare System Inc 910 Old Camp Rd Ste 144 The Villages FL 32162-5609 Ph: (352) 753-2224 |
| NPI Number | 1003385055 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 6406197946 |
|---|---|
| Medicare Enrollment ID | O20190409003177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003385055 | NPI | - | NPPES |
| Provider Name | Felix C Agbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215145610 PECOS PAC ID: 7618062415 Enrollment ID: I20071008000465 |
| Provider Name | Donna F Theiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235369174 PECOS PAC ID: 4981737285 Enrollment ID: I20100806000864 |
| Provider Name | David A Dada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558637363 PECOS PAC ID: 7911142567 Enrollment ID: I20130402000130 |
| Provider Name | Christine Marie Stopyra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730269689 PECOS PAC ID: 8628265915 Enrollment ID: I20131025001635 |
| Provider Name | Gabor Menczelesz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609869833 PECOS PAC ID: 9032147434 Enrollment ID: I20170104001864 |
| Provider Name | Kristin N Debusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134774896 PECOS PAC ID: 7911237722 Enrollment ID: I20190920002251 |
| Provider Name | Astrid Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033600770 PECOS PAC ID: 7214268382 Enrollment ID: I20191004000651 |
| Provider Name | Pennelope Shaye Dyals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659449817 PECOS PAC ID: 8325477078 Enrollment ID: I20200401002509 |
| Provider Name | Baldeep Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487183968 PECOS PAC ID: 4082048863 Enrollment ID: I20200723003441 |
| Provider Name | Ana M Zuleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366973182 PECOS PAC ID: 0941638472 Enrollment ID: I20200724001584 |
| Provider Name | Evelyn Bryon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548767577 PECOS PAC ID: 6103226303 Enrollment ID: I20210609002112 |
| Provider Name | Rita M Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720175474 PECOS PAC ID: 7810916459 Enrollment ID: I20220507000000 |
| Provider Name | Jonathan E Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538629159 PECOS PAC ID: 8729440235 Enrollment ID: I20230816000547 |
| Provider Name | Lindsey R Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508572322 PECOS PAC ID: 7416322391 Enrollment ID: I20230927003948 |
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