| Sr Medical Associates Llc | |
|
442 W Kennedy Blvd Tampa FL 33606-1494 | |
| (727) 418-2567 | |
| Not Available |
| Full Name | Sr Medical Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 442 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Stephen Lomonico (PRESIDENT) |
| Authorized Official Contact | 7274182567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sr Medical Associates Llc 442 W Kennedy Blvd Tampa FL 33606-1494 Ph: (727) 418-2567 | Sr Medical Associates Llc 442 W Kennedy Blvd Tampa FL 33606-1494 Ph: (727) 418-2567 |
| NPI Number | 1154913523 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Medicare PECOS PAC ID | 1658789359 |
|---|---|
| Medicare Enrollment ID | O20210419001084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154913523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nicole M Whitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205381977 PECOS PAC ID: 6608163936 Enrollment ID: I20160929001519 |
| Provider Name | Kristopher Stewart Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357787 PECOS PAC ID: 7315250248 Enrollment ID: I20161119000257 |
| Provider Name | Jessica Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300510 PECOS PAC ID: 2365725827 Enrollment ID: I20170207001058 |
| Provider Name | Katherine E Cancel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791690 PECOS PAC ID: 2961740436 Enrollment ID: I20190207000720 |
| Provider Name | Kelly Marie Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255951109 PECOS PAC ID: 2264848704 Enrollment ID: I20210309001596 |
| Provider Name | Wendy L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073169256 PECOS PAC ID: 2365832599 Enrollment ID: I20211202001784 |
| Provider Name | Jesselin Diamond Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922745 PECOS PAC ID: 6103216270 Enrollment ID: I20211203000769 |
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