| Cornerstone Medical Care of Brandon LLC | |
|
500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964 | |
| (813) 681-5658 | |
| (813) 681-5250 |
| Full Name | Cornerstone Medical Care of Brandon LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Vonderburg Dr, Brandon, Florida |
| Authorized Official Name and Position | Julio a Enriquez (MANAGING MEMBER) |
| Authorized Official Contact | 8136815658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Care of Brandon LLC 500 Vonderburg Dr Ste 102 Brandon FL 33511-5968 Ph: (813) 681-5658 | Cornerstone Medical Care of Brandon LLC 500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964 Ph: (813) 681-5658 |
| NPI Number | 1124038989 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 0345233409 |
|---|---|
| Medicare Enrollment ID | O20040405001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124038989 | NPI | - | NPPES |
| 267292800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Dean a Bramlet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164536488 PECOS PAC ID: 5597758961 Enrollment ID: I20040403000275 |
| Provider Name | Julio a Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497765267 PECOS PAC ID: 4688667744 Enrollment ID: I20050914000888 |
| Provider Name | Melissa M Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881783942 PECOS PAC ID: 0143228122 Enrollment ID: I20061130000058 |
| Provider Name | Pedro Manuel Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699798652 PECOS PAC ID: 2668574690 Enrollment ID: I20070222000339 |
| Provider Name | Felicia a Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326155573 PECOS PAC ID: 8022115385 Enrollment ID: I20070521000554 |
| Provider Name | Antonio Victor Zumpano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538179395 PECOS PAC ID: 8325031487 Enrollment ID: I20100927000070 |
| Provider Name | Junior Macias Madaula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043577109 PECOS PAC ID: 1456650704 Enrollment ID: I20160509001005 |
| Provider Name | Shawna King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740599 PECOS PAC ID: 3375834567 Enrollment ID: I20160617001590 |
| Provider Name | Cathy Sue Eaton-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831226414 PECOS PAC ID: 0042273948 Enrollment ID: I20180710000687 |
| Provider Name | Heather Cappello |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063623817 PECOS PAC ID: 0547453771 Enrollment ID: I20200305001018 |
| Provider Name | Nordal Gonzalez Valera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407383474 PECOS PAC ID: 1850712399 Enrollment ID: I20200609001004 |
| Provider Name | Danielle Nicole Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932507720 PECOS PAC ID: 0840514931 Enrollment ID: I20210514001143 |
| Provider Name | Lanesha C Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316600893 PECOS PAC ID: 3375933211 Enrollment ID: I20211208000358 |
| Provider Name | Lesly Wester Cuza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400207 PECOS PAC ID: 3072909118 Enrollment ID: I20220330000074 |
| Provider Name | Angela Mccarthy Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336458298 PECOS PAC ID: 0446438113 Enrollment ID: I20220601003248 |
| Provider Name | Ivette Lucia Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383998 PECOS PAC ID: 4385706217 Enrollment ID: I20230417001457 |
| Provider Name | Arnoldo Jose Pena Quesada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255913091 PECOS PAC ID: 7113460767 Enrollment ID: I20240624003001 |
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Learning to Achieve Wellness Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 W Robertson St, Brandon, FL 33511 Phone: 813-999-1516 Fax: 813-336-8384 |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 |
Florida Medical Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 |