Advanced Bay Area Medical Associates | |
1700 66th St. N. Ste 510 St Petersburg FL 33710-5544 | |
(727) 384-2479 | |
(727) 345-2300 |
Full Name | Advanced Bay Area Medical Associates |
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Speciality | Internal Medicine |
Location | 1700 66th St. N., St Petersburg, Florida |
Authorized Official Name and Position | Jeffrey R. Levenson (OWNER/DR) |
Authorized Official Contact | 7273842479 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Bay Area Medical Associates 1700 66th St. N. Ste 510 St Petersburg FL 33710-5544 Ph: (727) 384-2479 | Advanced Bay Area Medical Associates 1700 66th St. N. Ste 510 St Petersburg FL 33710-5544 Ph: (727) 384-2479 |
NPI Number | 1700965050 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 02/26/2025 |
Medicare PECOS PAC ID | 6901708205 |
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Medicare Enrollment ID | O20040127000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700965050 | NPI | - | NPPES |
257401200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Elisa Icaza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194770271 PECOS PAC ID: 6406804673 Enrollment ID: I20050105000390 |
Provider Name | Benjamin Nmn Mena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659359420 PECOS PAC ID: 7113950205 Enrollment ID: I20080116000036 |
Provider Name | Jeffrey R Levenson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528031408 PECOS PAC ID: 7810899119 Enrollment ID: I20100524000212 |
Provider Name | Nery D Balcacer-estevez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477735868 PECOS PAC ID: 9830221845 Enrollment ID: I20100709000299 |
Provider Name | Margaret L Lalor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275718843 PECOS PAC ID: 7315018645 Enrollment ID: I20101119000386 |
Provider Name | Marcella A Caro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124529094 PECOS PAC ID: 2961747514 Enrollment ID: I20181231000523 |
Provider Name | Jesmarie Correa-lasanta |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1285043901 PECOS PAC ID: 9931470788 Enrollment ID: I20190802000814 |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
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