| Specialist Doctors Group Llc | |
|
210 N Alexander St, Plant City, FL 33563-4302 | |
| (813) 752-7222 | |
| (813) 752-7255 |
| Full Name | Specialist Doctors Group Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 210 N Alexander St, Plant City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487963864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Florida) | Secondary |
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | James D Loebell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700839222 PECOS PAC ID: 8224021829 Enrollment ID: I20040407001661 |
| Provider Name | Eric J Breuggeman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831159136 PECOS PAC ID: 0941236855 Enrollment ID: I20050713000110 |
| Provider Name | Michael A Salvato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952413445 PECOS PAC ID: 0749262145 Enrollment ID: I20080623000532 |
| Provider Name | Helen M Tepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255316881 PECOS PAC ID: 0244392975 Enrollment ID: I20081215000355 |
| Provider Name | Martin T Girling |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003804675 PECOS PAC ID: 1456423219 Enrollment ID: I20110615000854 |
| Provider Name | Laura E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871859439 PECOS PAC ID: 8426212572 Enrollment ID: I20120621000208 |
| Provider Name | Quynh Tram Nhu Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669892402 PECOS PAC ID: 6103041835 Enrollment ID: I20140714000076 |
| Provider Name | Megan M Ziemer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891127304 PECOS PAC ID: 0042501298 Enrollment ID: I20160620001699 |
| Mailing Address | Practice Location Address |
|---|---|
| Specialist Doctors Group Llc P.o. Box 770, Lithia, FL 33547-0570 Ph: (813) 719-3525 | Specialist Doctors Group Llc 210 N Alexander St, Plant City, FL 33563-4302 Ph: (813) 752-7222 |