| Ctd Network LLC | |
|
1805 James L Redman Pkwy Ste 201 Plant City FL 33563-7012 | |
| (813) 807-3338 | |
| Not Available |
| Full Name | Ctd Network LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1805 James L Redman Pkwy Ste 201, Plant City, Florida |
| Authorized Official Name and Position | Mark Ford (OWNER) |
| Authorized Official Contact | 8138073338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctd Network LLC 2501 Walden Woods Dr # 5412 Plant City FL 33566-7168 Ph: (813) 807-3338 | Ctd Network LLC 1805 James L Redman Pkwy Ste 201 Plant City FL 33563-7012 Ph: (813) 807-3338 |
| NPI Number | 1851039762 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 4486025087 |
|---|---|
| Medicare Enrollment ID | O20230118001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851039762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 170300000X | Genetic Counselor, Ms | (NU) | Secondary |
| Provider Name | Robert Paul Kulchinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982683595 PECOS PAC ID: 0941228688 Enrollment ID: I20051110000647 |
| Provider Name | Mark Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649232349 PECOS PAC ID: 7416030523 Enrollment ID: I20080318000246 |
| Provider Name | Lawrence Scalzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881655561 PECOS PAC ID: 2668551359 Enrollment ID: I20130305000310 |
| Provider Name | Marianna Zelenak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174964795 PECOS PAC ID: 2668600818 Enrollment ID: I20140114001644 |
| Provider Name | Thomas a Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003998394 PECOS PAC ID: 6800865288 Enrollment ID: I20141106002365 |
| Provider Name | Jessica Lobban-williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619267275 PECOS PAC ID: 2668796335 Enrollment ID: I20150513002481 |
| Provider Name | Keisha S Smith-read |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538485404 PECOS PAC ID: 0042521502 Enrollment ID: I20150624002544 |
| Provider Name | Sara Eiseler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851653539 PECOS PAC ID: 4789989898 Enrollment ID: I20160229000587 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417395971 PECOS PAC ID: 6709019847 Enrollment ID: I20160816001879 |
| Provider Name | Sasha K Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972943454 PECOS PAC ID: 7416190913 Enrollment ID: I20161117002738 |
| Provider Name | Edwin Wu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740672112 PECOS PAC ID: 4486963725 Enrollment ID: I20170808001149 |
| Provider Name | Ahlan Mohamed Jama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538309877 PECOS PAC ID: 6103099130 Enrollment ID: I20180505000138 |
| Provider Name | Cristina Vila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437492089 PECOS PAC ID: 4688926918 Enrollment ID: I20181015000904 |
| Provider Name | Ashley East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791575 PECOS PAC ID: 3072851534 Enrollment ID: I20190208001609 |
| Provider Name | Kim Patrice Eubanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093765521 PECOS PAC ID: 7315998416 Enrollment ID: I20190308000682 |
| Provider Name | Adam Milton Mizeracki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922316389 PECOS PAC ID: 8729341094 Enrollment ID: I20200214002035 |
| Provider Name | Christina Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524950 PECOS PAC ID: 5991118721 Enrollment ID: I20210115000072 |
| Provider Name | Alla Zilberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985773 PECOS PAC ID: 9830113760 Enrollment ID: I20210525000784 |
| Provider Name | Maria Agustina Silberstein Y Tiribelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073075495 PECOS PAC ID: 3072918218 Enrollment ID: I20210825003372 |
| Provider Name | Jennifer B Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164481313 PECOS PAC ID: 2769723055 Enrollment ID: I20220125002146 |
| Provider Name | Barbara Ruth Bellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447309208 PECOS PAC ID: 1951404284 Enrollment ID: I20220126002204 |
| Provider Name | Courtney Patterson-manfredi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528465135 PECOS PAC ID: 5799068672 Enrollment ID: I20220128001343 |
| Provider Name | Li-ting Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013192624 PECOS PAC ID: 3173696531 Enrollment ID: I20220201000683 |
| Provider Name | Olatunde Oso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699121558 PECOS PAC ID: 3577967173 Enrollment ID: I20220202000929 |
| Provider Name | Bita Deyhimpanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013159862 PECOS PAC ID: 6204973217 Enrollment ID: I20220203002056 |
| Provider Name | Dinesh R Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568443273 PECOS PAC ID: 1850294364 Enrollment ID: I20220215002152 |
| Provider Name | Kalender Evins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477955995 PECOS PAC ID: 5991086035 Enrollment ID: I20220217000489 |
| Provider Name | Jonathan Woolverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588259196 PECOS PAC ID: 3779976626 Enrollment ID: I20220217000756 |
| Provider Name | Merlyn Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639528979 PECOS PAC ID: 9931514734 Enrollment ID: I20220322001768 |
| Provider Name | Devin Mark Ciliberti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386616340 PECOS PAC ID: 6709865017 Enrollment ID: I20220428001191 |
| Provider Name | Paulette C Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619054046 PECOS PAC ID: 3173670361 Enrollment ID: I20220517000180 |
| Provider Name | Eslam Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881220846 PECOS PAC ID: 0840671848 Enrollment ID: I20220722000381 |
| Provider Name | Brandon Young Hahm |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457641722 PECOS PAC ID: 4284001645 Enrollment ID: I20221028000182 |
| Provider Name | Amanuel Ambaye Daniachew |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396955134 PECOS PAC ID: 6406002062 Enrollment ID: I20230208003032 |
| Provider Name | Brett Fink |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861426405 PECOS PAC ID: 2668568015 Enrollment ID: I20230511001958 |
| Provider Name | Bretton Lee Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639464035 PECOS PAC ID: 7012155831 Enrollment ID: I20230511002667 |
| Provider Name | Sandy Y Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780799387 PECOS PAC ID: 0941304612 Enrollment ID: I20230516000887 |
| Provider Name | Rashid a Awan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760011266 PECOS PAC ID: 1052782794 Enrollment ID: I20230516003763 |
| Provider Name | Joseph Zitterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801840202 PECOS PAC ID: 5496713240 Enrollment ID: I20230531000560 |
| Provider Name | Amisa Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619554532 PECOS PAC ID: 0547620163 Enrollment ID: I20230714000590 |
| Provider Name | Sana Gulraiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114588647 PECOS PAC ID: 7911232343 Enrollment ID: I20230727003573 |
| Provider Name | Tannaz Nekoi-panah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417576273 PECOS PAC ID: 0244692267 Enrollment ID: I20230808002442 |
| Provider Name | Kenneth a Salu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558990606 PECOS PAC ID: 4284056235 Enrollment ID: I20231025001232 |
| Provider Name | Carlos Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427511328 PECOS PAC ID: 2466893003 Enrollment ID: I20240514000354 |
| Provider Name | Justyna Izabela Mosio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538608641 PECOS PAC ID: 8224563846 Enrollment ID: I20241119004724 |
| Provider Name | Zehra Dahlvani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922660034 PECOS PAC ID: 8123358181 Enrollment ID: I20250803000002 |
| Provider Name | Victor Otero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922624758 PECOS PAC ID: 1759828379 Enrollment ID: I20250919004087 |
| Provider Name | Ban Al-karaghouli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588814024 PECOS PAC ID: 5294986386 Enrollment ID: I20250922001148 |
| Provider Name | John Sampson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376626853 PECOS PAC ID: 5991955775 Enrollment ID: I20250926000215 |
Joseph Larue Richter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 W Reynolds St, Plant City, FL 33563 Phone: 813-754-4242 Fax: 813-752-0512 |
Healthpoint Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jim Redman Pkwy, Plant City, FL 33563 Phone: 813-754-4611 Fax: 813-719-8731 |
Clinical Care Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Oak Ave, Plant City, FL 33563 Phone: 813-284-7903 |
Z. A. Khan, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Plant Ave, Plant City, FL 33563 Phone: 813-754-1871 Fax: 813-754-1872 |
Suncoast Community Health Center Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Mobley St, Suite 1, Plant City, FL 33563 Phone: 813-349-7654 Fax: 813-349-7655 |
Millennium Physician Group LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 S Alexander St Ste 1, Plant City, FL 33566 Phone: 813-754-3344 Fax: 813-754-3574 |