| Concentra Urgent Care | |
|
10205 S Dixie Hwy Suite 102 Pinecrest FL 33156-3167 | |
| (305) 666-5971 | |
| (305) 666-0496 |
| Full Name | Concentra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 10205 S Dixie Hwy, Pinecrest, Florida |
| Authorized Official Name and Position | Robert Hassett (PRESIDENT) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concentra Urgent Care 5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 | Concentra Urgent Care 10205 S Dixie Hwy Suite 102 Pinecrest FL 33156-3167 Ph: (305) 666-5971 |
| NPI Number | 1770719296 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20090521000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770719296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | David San Miguel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629194584 PECOS PAC ID: 2567364748 Enrollment ID: I20040127000514 |
| Provider Name | Ivan J Wortman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750303699 PECOS PAC ID: 0446224638 Enrollment ID: I20040824000169 |
| Provider Name | Rachel L Pandit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190628 PECOS PAC ID: 1153379144 Enrollment ID: I20050106000355 |
| Provider Name | Heguang Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649363078 PECOS PAC ID: 1557398237 Enrollment ID: I20050725000686 |
| Provider Name | Denise E Agatep |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609976471 PECOS PAC ID: 9931131828 Enrollment ID: I20050831000164 |
| Provider Name | Janice Imhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043261670 PECOS PAC ID: 5991727638 Enrollment ID: I20051222000350 |
| Provider Name | Michael D Holzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124082334 PECOS PAC ID: 4688682396 Enrollment ID: I20060322000328 |
| Provider Name | Richard Kuehne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801847504 PECOS PAC ID: 7911918412 Enrollment ID: I20060517000025 |
| Provider Name | John Q Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881640050 PECOS PAC ID: 6406950815 Enrollment ID: I20070323000536 |
| Provider Name | Allison S Trowbridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043414907 PECOS PAC ID: 5193819811 Enrollment ID: I20070925000504 |
| Provider Name | David S Kronzek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184717563 PECOS PAC ID: 6406942580 Enrollment ID: I20071020000078 |
| Provider Name | Ingrid P Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932247830 PECOS PAC ID: 1052400439 Enrollment ID: I20071207000846 |
| Provider Name | Brian Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336351295 PECOS PAC ID: 4183793979 Enrollment ID: I20080520000378 |
| Provider Name | Rafael Cardella |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679699946 PECOS PAC ID: 8729048673 Enrollment ID: I20090521000449 |
| Provider Name | John J Badell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194840587 PECOS PAC ID: 4082763073 Enrollment ID: I20090521000510 |
| Provider Name | Allen D Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578772828 PECOS PAC ID: 0648329631 Enrollment ID: I20090803000036 |
| Provider Name | Lisa P Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881614923 PECOS PAC ID: 6901819408 Enrollment ID: I20091017000016 |
| Provider Name | Sanford R Cohen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669681979 PECOS PAC ID: 1254470644 Enrollment ID: I20091124000339 |
| Provider Name | Joetta L Troyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548583677 PECOS PAC ID: 3375560410 Enrollment ID: I20100420000818 |
| Provider Name | Jerry K Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730328527 PECOS PAC ID: 3072642677 Enrollment ID: I20100519000815 |
| Provider Name | Jonathan T Kudrowitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265761548 PECOS PAC ID: 2264562990 Enrollment ID: I20100607000716 |
| Provider Name | Maura Buete |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1477533552 PECOS PAC ID: 2163554296 Enrollment ID: I20100724000195 |
| Provider Name | Nathan D Thilges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780996892 PECOS PAC ID: 3274667407 Enrollment ID: I20100810000634 |
| Provider Name | Nikerson Geneve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266851 PECOS PAC ID: 8224162623 Enrollment ID: I20100820000783 |
| Provider Name | Steven J Saul |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568560795 PECOS PAC ID: 9537351481 Enrollment ID: I20101011000185 |
| Provider Name | Robert Bogle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356676845 PECOS PAC ID: 9335282896 Enrollment ID: I20101117000643 |
| Provider Name | Jovana Balkis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235116039 PECOS PAC ID: 4587847751 Enrollment ID: I20110325000005 |
| Provider Name | Larissa S Buccolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598747925 PECOS PAC ID: 9739362948 Enrollment ID: I20110325000411 |
| Provider Name | Lisa Ally |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194929216 PECOS PAC ID: 1254514284 Enrollment ID: I20110329000033 |
| Provider Name | Scott Meisel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548454317 PECOS PAC ID: 7810050796 Enrollment ID: I20110518000482 |
| Provider Name | Eric Buete |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260819 PECOS PAC ID: 9032395439 Enrollment ID: I20110525000529 |
| Provider Name | Denyse Allison Jaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386810190 PECOS PAC ID: 3779752738 Enrollment ID: I20110808000627 |
| Provider Name | Amanda R Minnocci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821321266 PECOS PAC ID: 1759420409 Enrollment ID: I20121204000507 |
| Provider Name | Karen P Tootle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821035973 PECOS PAC ID: 0749291326 Enrollment ID: I20130515000200 |
| Provider Name | Danielle J Marese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154694479 PECOS PAC ID: 4082851779 Enrollment ID: I20130517000186 |
| Provider Name | Quanne S Coombs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346594009 PECOS PAC ID: 6800029398 Enrollment ID: I20140508000333 |
| Provider Name | Nina M Edelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015440 PECOS PAC ID: 0840412201 Enrollment ID: I20141119001792 |
| Provider Name | Doris J Danko |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073791067 PECOS PAC ID: 1254598170 Enrollment ID: I20150112001246 |
| Provider Name | Michelle W Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336400787 PECOS PAC ID: 0345561619 Enrollment ID: I20150611002691 |
| Provider Name | Andrew Gordon |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902191539 PECOS PAC ID: 8921312273 Enrollment ID: I20150731014597 |
| Provider Name | Erika L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609003748 PECOS PAC ID: 9537477757 Enrollment ID: I20151007001624 |
| Provider Name | Joseph Penna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427464965 PECOS PAC ID: 4880903475 Enrollment ID: I20151022000054 |
| Provider Name | Nikita Mcmiller Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992177349 PECOS PAC ID: 6608176185 Enrollment ID: I20151207000847 |
| Provider Name | Leonel Bravo Viart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962876268 PECOS PAC ID: 1052613510 Enrollment ID: I20151230001594 |
| Provider Name | Shelby Eller Wesolowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558726562 PECOS PAC ID: 2062719461 Enrollment ID: I20160330001812 |
| Provider Name | Roberto Luis Rolon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316386535 PECOS PAC ID: 5698075877 Enrollment ID: I20161101002597 |
| Provider Name | Jose Puerto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073546933 PECOS PAC ID: 1355620303 Enrollment ID: I20161114002206 |
| Provider Name | Emily Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508313412 PECOS PAC ID: 9436439288 Enrollment ID: I20161213001535 |
| Provider Name | Saira Naseer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063809200 PECOS PAC ID: 1850600859 Enrollment ID: I20170111003192 |
| Provider Name | Didier Mbenza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245587161 PECOS PAC ID: 7012284466 Enrollment ID: I20170606002257 |
| Provider Name | Kylie Wood Fontoura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841541182 PECOS PAC ID: 4183875107 Enrollment ID: I20170629002210 |
| Provider Name | Jose S Lozada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588988000 PECOS PAC ID: 4880966274 Enrollment ID: I20170819000103 |
| Provider Name | Yarines Gonzalez Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770803595 PECOS PAC ID: 5496079212 Enrollment ID: I20171020001697 |
| Provider Name | Steven R Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225150121 PECOS PAC ID: 4789993981 Enrollment ID: I20171118000055 |
| Provider Name | Nabil Hodroj |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1821418062 PECOS PAC ID: 0547569550 Enrollment ID: I20171121001581 |
| Provider Name | Antonia L Mcgarrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174597041 PECOS PAC ID: 6507112091 Enrollment ID: I20180713001950 |
| Provider Name | Chau Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578976692 PECOS PAC ID: 0840581690 Enrollment ID: I20180926000764 |
| Provider Name | Cristina Vila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437492089 PECOS PAC ID: 4688926918 Enrollment ID: I20181015000904 |
| Provider Name | Edward L Demmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871507970 PECOS PAC ID: 0648564674 Enrollment ID: I20181126001194 |
| Provider Name | Charlene Ayden Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346652443 PECOS PAC ID: 7719222983 Enrollment ID: I20181215000157 |
| Provider Name | Seth a Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437165032 PECOS PAC ID: 7517252307 Enrollment ID: I20181217001065 |
| Provider Name | Ebonique Maeweathers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861545014 PECOS PAC ID: 4385981570 Enrollment ID: I20190125001491 |
| Provider Name | Trisha Marie Stueber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306157847 PECOS PAC ID: 7012160633 Enrollment ID: I20190208000516 |
| Provider Name | Christina E Ruiz-castaneda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295208940 PECOS PAC ID: 3173864410 Enrollment ID: I20190415000089 |
| Provider Name | Virginia K Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508187287 PECOS PAC ID: 0648464073 Enrollment ID: I20190925003854 |
| Provider Name | Melanie a Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972066827 PECOS PAC ID: 3577894575 Enrollment ID: I20191004002489 |
| Provider Name | Rachael H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872401 PECOS PAC ID: 8224369814 Enrollment ID: I20191014000174 |
| Provider Name | Cassandra Sunisa Turchany |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699329375 PECOS PAC ID: 3274965058 Enrollment ID: I20191115002267 |
| Provider Name | Stephanie M Elsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700964723 PECOS PAC ID: 1456374412 Enrollment ID: I20200129001451 |
| Provider Name | Jessica Staller |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1831586544 PECOS PAC ID: 6608125687 Enrollment ID: I20200211000755 |
| Provider Name | Gustavo Emilio Pena-lagrave |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427216571 PECOS PAC ID: 5991133399 Enrollment ID: I20200318001722 |
| Provider Name | Inelvis Del Rio Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871850362 PECOS PAC ID: 8820428774 Enrollment ID: I20200417000635 |
| Provider Name | Megan Ashlee Natalie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518491109 PECOS PAC ID: 4981034311 Enrollment ID: I20200424002518 |
| Provider Name | Lauren Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477087641 PECOS PAC ID: 3173953361 Enrollment ID: I20200501001519 |
| Provider Name | Affan Mohiuddin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912498130 PECOS PAC ID: 3870843196 Enrollment ID: I20200629001616 |
| Provider Name | Susan Giscombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154627529 PECOS PAC ID: 6800074725 Enrollment ID: I20200915000433 |
| Provider Name | Mena S Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285167692 PECOS PAC ID: 0042583957 Enrollment ID: I20200918000968 |
| Provider Name | Khadija I Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588171458 PECOS PAC ID: 0648687319 Enrollment ID: I20210324002088 |
| Provider Name | Jaime Marie Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669095824 PECOS PAC ID: 4284042367 Enrollment ID: I20210412000467 |
| Provider Name | Lauren T Hensley |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1760869481 PECOS PAC ID: 9638457047 Enrollment ID: I20210702000533 |
| Provider Name | Rickie Dugal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851706212 PECOS PAC ID: 4587995394 Enrollment ID: I20211028000882 |
| Provider Name | Tiffany Marie Davis-garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760837330 PECOS PAC ID: 8325333867 Enrollment ID: I20211122001751 |
| Provider Name | Jeremy Weinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881107019 PECOS PAC ID: 8820358450 Enrollment ID: I20220125000435 |
| Provider Name | Evelin Del P Montero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922642024 PECOS PAC ID: 7315377413 Enrollment ID: I20220207000607 |
| Provider Name | Marc a Tuel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376593186 PECOS PAC ID: 6800986183 Enrollment ID: I20220302001897 |
| Provider Name | Paul Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144260431 PECOS PAC ID: 9537250808 Enrollment ID: I20220509001689 |
| Provider Name | Donato Borrillo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104822170 PECOS PAC ID: 8628158870 Enrollment ID: I20220518003137 |
| Provider Name | Renu Gautam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558744417 PECOS PAC ID: 4284920752 Enrollment ID: I20220629001205 |
| Provider Name | Catalin Buda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376701029 PECOS PAC ID: 7719179746 Enrollment ID: I20220801002475 |
| Provider Name | Ijeoma Nwaigwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558927962 PECOS PAC ID: 2860727443 Enrollment ID: I20221004001596 |
| Provider Name | Lucy Bibisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356715726 PECOS PAC ID: 4486951720 Enrollment ID: I20221010000247 |
| Provider Name | Kim Bondurant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548251549 PECOS PAC ID: 2466436944 Enrollment ID: I20230210001503 |
| Provider Name | Thomas a Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306782 PECOS PAC ID: 8729452271 Enrollment ID: I20230323001156 |
| Provider Name | Mcwayne Weche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225535180 PECOS PAC ID: 2264890664 Enrollment ID: I20230616000533 |
| Provider Name | Neung R Kopter-meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881392538 PECOS PAC ID: 7113392788 Enrollment ID: I20230620000340 |
| Provider Name | Breanna Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235851056 PECOS PAC ID: 0446626881 Enrollment ID: I20230823000002 |
| Provider Name | James Desalvio |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063539674 PECOS PAC ID: 5193043982 Enrollment ID: I20230824000947 |
| Provider Name | Yunaisy Ceballo Hidalgo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457098907 PECOS PAC ID: 8820452626 Enrollment ID: I20230912004246 |
| Provider Name | Preeth Jayaram |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124559646 PECOS PAC ID: 2264787035 Enrollment ID: I20231009001956 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174144125 PECOS PAC ID: 5799132791 Enrollment ID: I20231114000157 |
| Provider Name | Mercy Manana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316661184 PECOS PAC ID: 3476900499 Enrollment ID: I20231114000763 |
| Provider Name | Tory Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548374481 PECOS PAC ID: 0345202461 Enrollment ID: I20231122000239 |
| Provider Name | Allison Hope Scanlon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083953475 PECOS PAC ID: 1759739592 Enrollment ID: I20231204003539 |
| Provider Name | Maria Caridad Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801161948 PECOS PAC ID: 7810204781 Enrollment ID: I20240105002067 |
| Provider Name | Kimberly Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212322 PECOS PAC ID: 6103222070 Enrollment ID: I20240313000468 |
| Provider Name | Ofer Michael Eibschutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366520843 PECOS PAC ID: 3072588128 Enrollment ID: I20240328002270 |
| Provider Name | Krish Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679335871 PECOS PAC ID: 2860832714 Enrollment ID: I20240425003393 |
| Provider Name | Susan F Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629277686 PECOS PAC ID: 3476995929 Enrollment ID: I20240529002337 |
| Provider Name | Lisa Marie Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245690114 PECOS PAC ID: 6507163201 Enrollment ID: I20240627002302 |
| Provider Name | Franckency Fils-aime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447909684 PECOS PAC ID: 2264805134 Enrollment ID: I20240709003468 |
| Provider Name | Jill Ireland |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1427418482 PECOS PAC ID: 9436447489 Enrollment ID: I20240724002837 |
| Provider Name | Whitney Harrison-birmingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053733741 PECOS PAC ID: 2860615929 Enrollment ID: I20240729000741 |
| Provider Name | Nancie Fitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710954771 PECOS PAC ID: 0648220392 Enrollment ID: I20240816001974 |
| Provider Name | Daniel Bejarano Puentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326577578 PECOS PAC ID: 4385915446 Enrollment ID: I20240923000816 |
| Provider Name | Veniece Monique Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376241372 PECOS PAC ID: 7810420551 Enrollment ID: I20241101002017 |
| Provider Name | Kirsten Kelly Pelosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306673017 PECOS PAC ID: 9032643580 Enrollment ID: I20241106004130 |
| Provider Name | Madison Lunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023849486 PECOS PAC ID: 9436670379 Enrollment ID: I20250306003830 |
| Provider Name | Riley D'angelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386462869 PECOS PAC ID: 6305368721 Enrollment ID: I20250314001995 |
| Provider Name | Ramon E Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720287691 PECOS PAC ID: 0547784878 Enrollment ID: I20250408003526 |
| Provider Name | David Digiandomenico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306431218 PECOS PAC ID: 7214460302 Enrollment ID: I20250413000027 |
| Provider Name | Lisa Mazza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457472201 PECOS PAC ID: 5294836532 Enrollment ID: I20250505002357 |
| Provider Name | Daniela Lipovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922254275 PECOS PAC ID: 5799822946 Enrollment ID: I20250520002442 |
| Provider Name | Zanati M Ahmed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992221899 PECOS PAC ID: 3375057706 Enrollment ID: I20250708004638 |
| Provider Name | Raja Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760045140 PECOS PAC ID: 0345621454 Enrollment ID: I20250725001827 |
| Provider Name | Keisha Yancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790563922 PECOS PAC ID: 9638524218 Enrollment ID: I20250731001212 |
| Provider Name | Alfredo Harb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962864009 PECOS PAC ID: 5496019861 Enrollment ID: I20250804003453 |
| Provider Name | Heather Seldat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609425081 PECOS PAC ID: 4284965450 Enrollment ID: I20251003003749 |
| Provider Name | Jaret Terrell Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427486380 PECOS PAC ID: 3476781006 Enrollment ID: I20251110000432 |
| Provider Name | Dor More |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578397097 PECOS PAC ID: 5092248773 Enrollment ID: I20251111000129 |
| Provider Name | Emmanuel Mcneely |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1508560376 PECOS PAC ID: 5294227096 Enrollment ID: I20251119004093 |
| Provider Name | William Jason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144252230 PECOS PAC ID: 1850624107 Enrollment ID: I20251204002846 |
| Provider Name | Dimitri Tchienga |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528404233 PECOS PAC ID: 7113461096 Enrollment ID: I20260328000509 |
| Provider Name | Telina Williams Stuckey |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1790784254 PECOS PAC ID: 4981609674 Enrollment ID: I20260407002369 |
| Provider Name | Teresa Campos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942489430 PECOS PAC ID: 3779642384 Enrollment ID: I20260422000946 |
| Provider Name | Leah Goedecke |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1457974073 PECOS PAC ID: 2961941281 Enrollment ID: I20260426000058 |
| Provider Name | Shilpa Gowda |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366709735 PECOS PAC ID: 9032439948 Enrollment ID: I20260521004513 |
| Provider Name | Tanja Nazzal Wysocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144090713 PECOS PAC ID: 4183194756 Enrollment ID: I20260525000274 |
Baptist Health Medical Group Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13101 S Dixie Hwy Ste 420, Pinecrest, FL 33156 Phone: 785-595-8080 |
Executive Physicians of South Miami Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9619 S Dixie Hwy, Pinecrest, FL 33156 Phone: 786-882-1919 Fax: 786-206-3161 |
Concentra Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10205 S Dixie Hwy, Hwy 102, Pinecrest, FL 33156 Phone: 305-666-5971 |
Pinecrest Total Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10420 Sw 77th Ave Ste 100, Pinecrest, FL 33156 Phone: 305-877-4348 Fax: 954-431-4246 |
Dr. Medina's Optical, LLC. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8247 Sw 124th St, Pinecrest, FL 33156 Phone: 305-233-1330 Fax: 305-233-1362 |
Cotelo LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11767 S Dixie Hwy, 423, Pinecrest, FL 33156 Phone: 786-474-4345 Fax: 855-268-3561 |