| Community Hospital Family Practice Llc | |
|
44 Veterans Ave Brooksville FL 34601-3215 | |
| (352) 797-3500 | |
| (352) 797-3526 |
| Full Name | Community Hospital Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 44 Veterans Ave, Brooksville, Florida |
| Authorized Official Name and Position | William Tederick Johnson (VICE PRESIDENT/AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospital Family Practice Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Community Hospital Family Practice Llc 44 Veterans Ave Brooksville FL 34601-3215 Ph: (352) 797-3500 |
| NPI Number | 1902094857 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 2264595941 |
|---|---|
| Medicare Enrollment ID | O20090106000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094857 | NPI | - | NPPES |
| 000801600 | Medicaid | FL | |
| DO9676 | Other | FL | MEDICARE RAILROAD GROUP |
| 00264 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (Florida) | Secondary |
| Provider Name | Joseph Mcdonald Armotrading |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588626147 PECOS PAC ID: 5698736239 Enrollment ID: I20041027000587 |
| Provider Name | Tiffany M Jessee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205830692 PECOS PAC ID: 3870673718 Enrollment ID: I20080104000541 |
| Provider Name | Alene J Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578674990 PECOS PAC ID: 7911943220 Enrollment ID: I20080726000081 |
| Provider Name | Joseph Pino |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316942105 PECOS PAC ID: 9638237381 Enrollment ID: I20081023000732 |
| Provider Name | Shaival Thakore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164610812 PECOS PAC ID: 6204990468 Enrollment ID: I20090203000164 |
| Provider Name | John P Leone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457354490 PECOS PAC ID: 1153466826 Enrollment ID: I20100305000158 |
| Provider Name | Timothy N Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568564243 PECOS PAC ID: 8921131145 Enrollment ID: I20100809000358 |
| Provider Name | Richard O Chlouber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104080670 PECOS PAC ID: 8325162514 Enrollment ID: I20100824001251 |
| Provider Name | Niloufer S Kero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053354183 PECOS PAC ID: 7113820333 Enrollment ID: I20100827000414 |
| Provider Name | Teddy W Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588640015 PECOS PAC ID: 0244367316 Enrollment ID: I20101115000982 |
| Provider Name | Hank Curtis Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063497097 PECOS PAC ID: 5294794806 Enrollment ID: I20101210000927 |
| Provider Name | Francia E Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023285095 PECOS PAC ID: 9830359074 Enrollment ID: I20120327000344 |
| Provider Name | Reut Bardach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780950527 PECOS PAC ID: 5092971200 Enrollment ID: I20120716000251 |
| Provider Name | Tamika L Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336436849 PECOS PAC ID: 2668628710 Enrollment ID: I20120806000889 |
| Provider Name | Jerry R Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316931777 PECOS PAC ID: 4284883174 Enrollment ID: I20121022000800 |
| Provider Name | Mohammed A Tabbaa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851736151 PECOS PAC ID: 8224275953 Enrollment ID: I20130516000281 |
| Provider Name | Nay Gebran Hoche Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649404070 PECOS PAC ID: 4880835818 Enrollment ID: I20130802000178 |
| Provider Name | Keri Lynn Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194157719 PECOS PAC ID: 5193969962 Enrollment ID: I20130917000384 |
| Provider Name | Layal Abdel Rahman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134383615 PECOS PAC ID: 0143461533 Enrollment ID: I20150630002576 |
| Provider Name | Lauren D Juyia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114217106 PECOS PAC ID: 2961702790 Enrollment ID: I20151201001938 |
| Provider Name | Peggy A St.croix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407293350 PECOS PAC ID: 5991006728 Enrollment ID: I20151218002134 |
| Provider Name | David A Terschluse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194817213 PECOS PAC ID: 7517918584 Enrollment ID: I20160601001190 |
| Provider Name | Jamii B St. Julien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881898377 PECOS PAC ID: 8123247632 Enrollment ID: I20160705002152 |
| Provider Name | Cherylann D Collito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891773941 PECOS PAC ID: 9032402250 Enrollment ID: I20160726002246 |
| Provider Name | Reji Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255886057 PECOS PAC ID: 4789963828 Enrollment ID: I20161114001571 |
| Provider Name | Sabrina Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366996076 PECOS PAC ID: 5395027510 Enrollment ID: I20170124001926 |
| Provider Name | Jacarra K Carey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295248169 PECOS PAC ID: 7911267711 Enrollment ID: I20180215000927 |
| Provider Name | Carlos M Rivera-caban |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821233735 PECOS PAC ID: 9436405263 Enrollment ID: I20180709001483 |
| Provider Name | Maximillian Luke Covert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356825632 PECOS PAC ID: 1850645854 Enrollment ID: I20181109001888 |
| Provider Name | Yelena Tarasenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831574219 PECOS PAC ID: 8921352501 Enrollment ID: I20181117000272 |
| Provider Name | Xavier M Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295767986 PECOS PAC ID: 5395659338 Enrollment ID: I20190508001423 |
| Provider Name | Ramon A Docobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881041226 PECOS PAC ID: 5698069466 Enrollment ID: I20190718001578 |
| Provider Name | Katherine Mcdaniel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447719141 PECOS PAC ID: 5597092742 Enrollment ID: I20190809001854 |
| Provider Name | Mohamed M Taha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811174634 PECOS PAC ID: 2163500604 Enrollment ID: I20190823000968 |
| Provider Name | Shannon C Gummoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568021343 PECOS PAC ID: 2567790678 Enrollment ID: I20190828001390 |
| Provider Name | Anna M Schepcoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962932475 PECOS PAC ID: 1456774397 Enrollment ID: I20200709003416 |
| Provider Name | Meir Mizrahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881054161 PECOS PAC ID: 1355614298 Enrollment ID: I20200909000141 |
| Provider Name | Corie Jo Maurer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639789589 PECOS PAC ID: 1759701568 Enrollment ID: I20201016000986 |
| Provider Name | Tiffany N Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720593346 PECOS PAC ID: 2567882012 Enrollment ID: I20201021002803 |
| Provider Name | Jordan Jordan-topp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013599950 PECOS PAC ID: 7214332154 Enrollment ID: I20210816002876 |
| Provider Name | Khortnal Delvecchio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578989224 PECOS PAC ID: 0042511735 Enrollment ID: I20211102002320 |
| Provider Name | Isaac Truelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134547342 PECOS PAC ID: 4183842701 Enrollment ID: I20211118002531 |
| Provider Name | Kristina Nakonechnaya Soltes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376064089 PECOS PAC ID: 8921330192 Enrollment ID: I20221014002025 |
| Provider Name | Vinod K Rustgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679589121 PECOS PAC ID: 5496748741 Enrollment ID: I20230712000124 |
| Provider Name | Viviana A Melendez Muniz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346747722 PECOS PAC ID: 3072910611 Enrollment ID: I20230726001753 |
| Provider Name | Danica Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821653213 PECOS PAC ID: 0941663959 Enrollment ID: I20230823004117 |
| Provider Name | Matthew Tancinco Mancao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891292603 PECOS PAC ID: 2668836545 Enrollment ID: I20230911003092 |
| Provider Name | Jason William Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437619103 PECOS PAC ID: 5799167243 Enrollment ID: I20230912004354 |
| Provider Name | James David Eason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952368003 PECOS PAC ID: 2668481185 Enrollment ID: I20230913000043 |
| Provider Name | Akiko I Makino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322231 PECOS PAC ID: 2567705825 Enrollment ID: I20240205000122 |
| Provider Name | Sepideh Farzin Moghadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508020017 PECOS PAC ID: 9335304583 Enrollment ID: I20240528000257 |
| Provider Name | Melissa Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467069369 PECOS PAC ID: 7416368170 Enrollment ID: I20240610002047 |
| Provider Name | Michelle S Avalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912585456 PECOS PAC ID: 9133663479 Enrollment ID: I20240627003322 |
| Provider Name | Celeste Amber Hurley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689252181 PECOS PAC ID: 5294270963 Enrollment ID: I20240717003823 |
| Provider Name | Austin M Van Vliet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023695616 PECOS PAC ID: 1355746124 Enrollment ID: I20240726002778 |
| Provider Name | Roxana I Bodin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215254602 PECOS PAC ID: 3072707330 Enrollment ID: I20241031000678 |
| Provider Name | Janet Lewallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851190805 PECOS PAC ID: 6002339355 Enrollment ID: I20250327003157 |
| Provider Name | Deanna Marie Julbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184413940 PECOS PAC ID: 3779094115 Enrollment ID: I20250613000996 |
Always There Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Grove Rd, Brooksville, FL 34609 Phone: 727-523-0525 | |
Ridge Manor Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31158 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 | |
Hernando Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12900 Cortez Blvd, Ste 202, Brooksville, FL 34613 Phone: 352-597-8844 Fax: 352-597-8831 | |
Nautilus Health Care Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11371 Cortez Blvd Ste 134, Brooksville, FL 34613 Phone: 352-606-7182 Fax: 352-606-7482 | |
Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11329 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-5052 Fax: 352-596-5244 | |
Tampa General Hospital Hernando Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 352-796-5111 Fax: 352-544-5711 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31075 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 |