| Physicians Specialties, Llc | |
|
6702 W Linebaugh Ave Tampa FL 33625-4953 | |
| (813) 450-1792 | |
| (813) 630-3094 |
| Full Name | Physicians Specialties, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6702 W Linebaugh Ave, Tampa, Florida |
| Authorized Official Name and Position | Alvin Jones (OWNER) |
| Authorized Official Contact | 8134501792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Specialties, Llc 6702 W Linebaugh Ave Tampa FL 33625-4953 Ph: (813) 450-1792 | Physicians Specialties, Llc 6702 W Linebaugh Ave Tampa FL 33625-4953 Ph: (813) 450-1792 |
| NPI Number | 1285239269 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 1759748981 |
|---|---|
| Medicare Enrollment ID | O20230604000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285239269 | NPI | - | NPPES |
| Provider Name | Ruth E Gettes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619067592 PECOS PAC ID: 6608843842 Enrollment ID: I20040915001217 |
| Provider Name | Amado F Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619960564 PECOS PAC ID: 8224223300 Enrollment ID: I20101115000921 |
| Provider Name | Verlencia L Walker-goner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497148654 PECOS PAC ID: 8820352453 Enrollment ID: I20180508001761 |
| Provider Name | Jon-patric Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306472477 PECOS PAC ID: 0840687737 Enrollment ID: I20220422002359 |
| Provider Name | Juan J Gutierrez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780339788 PECOS PAC ID: 5799142923 Enrollment ID: I20230605000263 |
| Provider Name | Yarelis Gonzalez Pantoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838711 PECOS PAC ID: 4183164437 Enrollment ID: I20240912003321 |
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