| Community Medical Group | |
|
1415 S Collins St Plant City FL 33563-6577 | |
| (813) 906-1411 | |
| (813) 413-1966 |
| Full Name | Community Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1415 S Collins St, Plant City, Florida |
| Authorized Official Name and Position | Rayny Ramirez (PRESIDENT) |
| Authorized Official Contact | 7863227333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group 6100 Blue Lagoon Dr Ste 365 Miami FL 33126-7010 Ph: (786) 322-7333 | Community Medical Group 1415 S Collins St Plant City FL 33563-6577 Ph: (813) 906-1411 |
| NPI Number | 1942710793 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 6305186958 |
|---|---|
| Medicare Enrollment ID | O20190319002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942710793 | NPI | - | NPPES |
| 101992200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Esther U Browne-king |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780792853 PECOS PAC ID: 6608776570 Enrollment ID: I20040109000735 |
| Provider Name | Sherif M Zihni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013246990 PECOS PAC ID: 5496941403 Enrollment ID: I20200121002099 |
| Provider Name | Knadia K Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902236409 PECOS PAC ID: 3678900792 Enrollment ID: I20200228002159 |
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