| Optum | |
|
5130 Sunforest Dr Ste 300 Tampa FL 33634-6327 | |
| (727) 824-0780 | |
| (813) 514-8891 |
| Full Name | Optum |
|---|---|
| Speciality | General Practice |
| Location | 5130 Sunforest Dr Ste 300, Tampa, Florida |
| Authorized Official Name and Position | Laurene Ann Dougherty (SVP OF INTEGRATION & TRANSFORMATION) |
| Authorized Official Contact | 7278282322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum 5130 Sunforest Dr Ste 300 Tampa FL 33634-6327 Ph: (727) 824-0780 | Optum 5130 Sunforest Dr Ste 300 Tampa FL 33634-6327 Ph: (727) 824-0780 |
| NPI Number | 1053384214 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 3072403476 |
|---|---|
| Medicare Enrollment ID | O20040318001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053384214 | NPI | - | NPPES |
| 014498800 | Medicaid | FL | |
| 269895100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Secondary |
| 207R00000X | Internal Medicine | (Florida) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Vu Xuan Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912961889 PECOS PAC ID: 5092612259 Enrollment ID: I20031216000354 |
| Provider Name | Sigrid A Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578763934 PECOS PAC ID: 2668379702 Enrollment ID: I20031216000874 |
| Provider Name | Debra P Figueroa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518960905 PECOS PAC ID: 5092616995 Enrollment ID: I20040114000654 |
| Provider Name | Nereida J Castillo-abreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245414689 PECOS PAC ID: 5294620886 Enrollment ID: I20040223000036 |
| Provider Name | David P Divita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821303 PECOS PAC ID: 5597654996 Enrollment ID: I20040313000002 |
| Provider Name | Jolly Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194798975 PECOS PAC ID: 9931099280 Enrollment ID: I20040318001524 |
| Provider Name | Temukisa T Young-henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047968 PECOS PAC ID: 5799767695 Enrollment ID: I20040603001380 |
| Provider Name | Kenneth Bernard Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881659308 PECOS PAC ID: 2365424041 Enrollment ID: I20040605000161 |
| Provider Name | Carol A Stewart-francisco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013920305 PECOS PAC ID: 5496730582 Enrollment ID: I20040623000806 |
| Provider Name | Amy Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831164342 PECOS PAC ID: 3072590249 Enrollment ID: I20040706000813 |
| Provider Name | Marcella Perez Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043431208 PECOS PAC ID: 1759369622 Enrollment ID: I20040708001019 |
| Provider Name | Sherry L Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467444158 PECOS PAC ID: 9739167479 Enrollment ID: I20040709000885 |
| Provider Name | Lavida J Thomas Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700828373 PECOS PAC ID: 5799764668 Enrollment ID: I20040714001531 |
| Provider Name | Fabiola Fairgrieve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932376282 PECOS PAC ID: 6103721584 Enrollment ID: I20040820000328 |
| Provider Name | Mike Perl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215980438 PECOS PAC ID: 3779557061 Enrollment ID: I20040823001015 |
| Provider Name | Robert Difronzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760498844 PECOS PAC ID: 2264406099 Enrollment ID: I20040825001466 |
| Provider Name | Katharigu S Venkataram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811926488 PECOS PAC ID: 3375518814 Enrollment ID: I20040830000138 |
| Provider Name | Oscar E Piedad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417913716 PECOS PAC ID: 4880660992 Enrollment ID: I20040909000186 |
| Provider Name | Frank J Vazzana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124017223 PECOS PAC ID: 8820057425 Enrollment ID: I20041008000515 |
| Provider Name | Frederick C Polsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386618577 PECOS PAC ID: 1153380605 Enrollment ID: I20041008000973 |
| Provider Name | Sukumar Mathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386798452 PECOS PAC ID: 1254399355 Enrollment ID: I20041221000472 |
| Provider Name | Enid Milland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720091853 PECOS PAC ID: 6305804311 Enrollment ID: I20041222000308 |
| Provider Name | Charles D Stinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205829215 PECOS PAC ID: 4082664339 Enrollment ID: I20050125000809 |
| Provider Name | Vanessa Jorge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437135894 PECOS PAC ID: 1355395401 Enrollment ID: I20050310000917 |
| Provider Name | Helen E Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437197399 PECOS PAC ID: 0840245072 Enrollment ID: I20050321000500 |
| Provider Name | Jacqueline A Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164496584 PECOS PAC ID: 3072411339 Enrollment ID: I20050705000124 |
| Provider Name | Trice H Lininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316064504 PECOS PAC ID: 8426086356 Enrollment ID: I20050801000874 |
| Provider Name | Durgabhavani Valay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093760829 PECOS PAC ID: 9638108871 Enrollment ID: I20050809000235 |
| Provider Name | Adriana E Carbon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104855915 PECOS PAC ID: 8022040526 Enrollment ID: I20050906000750 |
| Provider Name | Carrie A Gittings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417983743 PECOS PAC ID: 2264466309 Enrollment ID: I20050919000961 |
| Provider Name | Simarpreet K Talwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316952252 PECOS PAC ID: 1153355599 Enrollment ID: I20050924000018 |
| Provider Name | Derek J Hiltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366494742 PECOS PAC ID: 7315971553 Enrollment ID: I20050927000116 |
| Provider Name | Digesh Chokshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396932356 PECOS PAC ID: 9537194600 Enrollment ID: I20050929000107 |
| Provider Name | Maria Razon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417919036 PECOS PAC ID: 5496770943 Enrollment ID: I20051013000380 |
| Provider Name | Brian Ohalloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427085687 PECOS PAC ID: 2668498023 Enrollment ID: I20051015000051 |
| Provider Name | Tarik K Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770579567 PECOS PAC ID: 1557388378 Enrollment ID: I20051031000592 |
| Provider Name | Bryan Parmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558334789 PECOS PAC ID: 5193746667 Enrollment ID: I20051212000720 |
| Provider Name | Victoria B Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316924970 PECOS PAC ID: 7911921713 Enrollment ID: I20060119000590 |
| Provider Name | Donna S Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114991395 PECOS PAC ID: 2466476973 Enrollment ID: I20060124000440 |
| Provider Name | Urjit D Gheewala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356314496 PECOS PAC ID: 0749295871 Enrollment ID: I20060210000523 |
| Provider Name | Amy V Bond-rozelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104914845 PECOS PAC ID: 8123034568 Enrollment ID: I20060222000709 |
| Provider Name | Abdullah S Kamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902841950 PECOS PAC ID: 6305849720 Enrollment ID: I20060824000173 |
| Provider Name | Hernan Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083628192 PECOS PAC ID: 0840296463 Enrollment ID: I20061004000543 |
| Provider Name | Daniel Heinig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053661 PECOS PAC ID: 0648277731 Enrollment ID: I20061102000474 |
| Provider Name | Michael Anthony Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206816 PECOS PAC ID: 8820097371 Enrollment ID: I20061211000107 |
| Provider Name | Tammy N Thaggert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174534770 PECOS PAC ID: 9032119490 Enrollment ID: I20070109000115 |
| Provider Name | Eden's Valentin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872458 PECOS PAC ID: 1456453034 Enrollment ID: I20070228000464 |
| Provider Name | Israel E Penate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427073329 PECOS PAC ID: 0547364283 Enrollment ID: I20070405000098 |
| Provider Name | Debra Balkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740361583 PECOS PAC ID: 9537265731 Enrollment ID: I20070504000255 |
| Provider Name | Amaury Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831106277 PECOS PAC ID: 8123124922 Enrollment ID: I20070510000187 |
| Provider Name | Jayant Ranawat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750494159 PECOS PAC ID: 0749386571 Enrollment ID: I20070510000399 |
| Provider Name | Dilip Purohit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205871308 PECOS PAC ID: 3072611581 Enrollment ID: I20070607000133 |
| Provider Name | Diane M Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518981794 PECOS PAC ID: 7911006507 Enrollment ID: I20070622000064 |
| Provider Name | Andreea M Arsene-weeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407051345 PECOS PAC ID: 9234223165 Enrollment ID: I20070921000598 |
| Provider Name | Roberto S Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700867553 PECOS PAC ID: 2264529981 Enrollment ID: I20071029000055 |
| Provider Name | Casey Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962496505 PECOS PAC ID: 6507956455 Enrollment ID: I20071217000224 |
| Provider Name | Mark Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649232349 PECOS PAC ID: 7416030523 Enrollment ID: I20080318000246 |
| Provider Name | Robert N Baskin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841252061 PECOS PAC ID: 0143303255 Enrollment ID: I20080428000647 |
| Provider Name | Sharon L Acevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194851352 PECOS PAC ID: 0446329502 Enrollment ID: I20080515000737 |
| Provider Name | Arlene Spertus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275690182 PECOS PAC ID: 3971674227 Enrollment ID: I20080614000048 |
| Provider Name | Angela G Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083881254 PECOS PAC ID: 1951475078 Enrollment ID: I20080806000799 |
| Provider Name | Babatunde M Akinsete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508050618 PECOS PAC ID: 0749356533 Enrollment ID: I20080902000239 |
| Provider Name | Amber R Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407991250 PECOS PAC ID: 0547336679 Enrollment ID: I20080913000097 |
| Provider Name | Ashish G Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649365636 PECOS PAC ID: 1456410570 Enrollment ID: I20081104000758 |
| Provider Name | Miriam Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346460888 PECOS PAC ID: 3779645361 Enrollment ID: I20081216000136 |
| Provider Name | Adrienne M Serneels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972781672 PECOS PAC ID: 6204998057 Enrollment ID: I20090102000476 |
| Provider Name | Max Fon Sing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154436228 PECOS PAC ID: 2769499193 Enrollment ID: I20090211000579 |
| Provider Name | Jose A Quimbayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780725549 PECOS PAC ID: 4789749060 Enrollment ID: I20090220000216 |
| Provider Name | Carolyn D Pass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306814553 PECOS PAC ID: 4789731076 Enrollment ID: I20090401000474 |
| Provider Name | Regy Geevarghese Korah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841444916 PECOS PAC ID: 6800945684 Enrollment ID: I20090527000570 |
| Provider Name | Frances I Cadogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265417471 PECOS PAC ID: 1850446477 Enrollment ID: I20090903000519 |
| Provider Name | Margaret F Amanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144466244 PECOS PAC ID: 7618016528 Enrollment ID: I20091207000468 |
| Provider Name | Mildred E Pazmino Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639125107 PECOS PAC ID: 0042352957 Enrollment ID: I20100114000773 |
| Provider Name | Maria Celeste San Antonio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538217815 PECOS PAC ID: 7517025281 Enrollment ID: I20100310000374 |
| Provider Name | Haidong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790719094 PECOS PAC ID: 7719957927 Enrollment ID: I20100326000737 |
| Provider Name | Carlos G Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376879031 PECOS PAC ID: 5890824429 Enrollment ID: I20100520000217 |
| Provider Name | Michael H Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215993514 PECOS PAC ID: 0840267035 Enrollment ID: I20100601000527 |
| Provider Name | Nadia Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518281310 PECOS PAC ID: 8527199975 Enrollment ID: I20100628001104 |
| Provider Name | Ruth A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760580229 PECOS PAC ID: 7719915107 Enrollment ID: I20100723000723 |
| Provider Name | Mildred Taveras Trevett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063422558 PECOS PAC ID: 5294621736 Enrollment ID: I20100726000194 |
| Provider Name | Jason R Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922339274 PECOS PAC ID: 5698808616 Enrollment ID: I20100728000376 |
| Provider Name | Felipe A Alvarado Amado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023332657 PECOS PAC ID: 7113051632 Enrollment ID: I20100818001130 |
| Provider Name | Emma Bautista Ocampo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457328577 PECOS PAC ID: 6002940467 Enrollment ID: I20100820000264 |
| Provider Name | Jose Soler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932163961 PECOS PAC ID: 6204950975 Enrollment ID: I20100901000728 |
| Provider Name | Shamimara Borachi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508839564 PECOS PAC ID: 8224152913 Enrollment ID: I20100901000971 |
| Provider Name | Alice Wei Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417921222 PECOS PAC ID: 8325162779 Enrollment ID: I20100908000118 |
| Provider Name | Bernita Kathryn Sands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841266764 PECOS PAC ID: 4688798044 Enrollment ID: I20100908000159 |
| Provider Name | Brunilda Nazario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164495297 PECOS PAC ID: 4284758640 Enrollment ID: I20100908000199 |
| Provider Name | Aarti Lamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841263985 PECOS PAC ID: 6800911256 Enrollment ID: I20100909000245 |
| Provider Name | Ricardo Marin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980689 PECOS PAC ID: 8325163785 Enrollment ID: I20100909000271 |
| Provider Name | Darla Broderick-breit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538133327 PECOS PAC ID: 5991820284 Enrollment ID: I20100909000782 |
| Provider Name | Anupam Shyamkamal Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304812 PECOS PAC ID: 2264557107 Enrollment ID: I20100915000362 |
| Provider Name | Aaron Sheets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124092135 PECOS PAC ID: 2163547654 Enrollment ID: I20100921001039 |
| Provider Name | Lyndon Soe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245204270 PECOS PAC ID: 7719003268 Enrollment ID: I20100922000407 |
| Provider Name | Kantilal N Bhadja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033162052 PECOS PAC ID: 6800089236 Enrollment ID: I20101019000166 |
| Provider Name | Sara Cruz-luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023297702 PECOS PAC ID: 5294928495 Enrollment ID: I20101020000824 |
| Provider Name | Monica M Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659405173 PECOS PAC ID: 5698873008 Enrollment ID: I20101025001024 |
| Provider Name | Martha J Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133594 PECOS PAC ID: 6406049261 Enrollment ID: I20101028000572 |
| Provider Name | Ida Marilou Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558411223 PECOS PAC ID: 5294929394 Enrollment ID: I20101103000096 |
| Provider Name | Bina Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376644039 PECOS PAC ID: 2264626787 Enrollment ID: I20101206000598 |
| Provider Name | Michelle J Van De Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376846337 PECOS PAC ID: 4981883568 Enrollment ID: I20110128000190 |
| Provider Name | Pratima Deshmukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932109782 PECOS PAC ID: 1557324365 Enrollment ID: I20110228000674 |
| Provider Name | Andrew S Breitberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811157621 PECOS PAC ID: 3173707197 Enrollment ID: I20110414000847 |
| Provider Name | Judith Y Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871884155 PECOS PAC ID: 3173709698 Enrollment ID: I20110518000573 |
| Provider Name | Nancy Frizzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497739742 PECOS PAC ID: 0840478947 Enrollment ID: I20110620000396 |
| Provider Name | Sherri L Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568432938 PECOS PAC ID: 7315848546 Enrollment ID: I20110623000221 |
| Provider Name | Rose A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639462310 PECOS PAC ID: 9638357486 Enrollment ID: I20110624000533 |
| Provider Name | Kathy Nguyen Casado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730207317 PECOS PAC ID: 8628161171 Enrollment ID: I20110629000447 |
| Provider Name | Joel V Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952511917 PECOS PAC ID: 2163600479 Enrollment ID: I20110708000271 |
| Provider Name | Sriprintha Navarathinarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003802554 PECOS PAC ID: 7113961137 Enrollment ID: I20110803000292 |
| Provider Name | Mohit Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043334543 PECOS PAC ID: 3870677727 Enrollment ID: I20110816000597 |
| Provider Name | Suzanne S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953695 PECOS PAC ID: 0042481194 Enrollment ID: I20110921000135 |
| Provider Name | Simarta F Brennan-prescod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121920 PECOS PAC ID: 2769654151 Enrollment ID: I20111006000671 |
| Provider Name | Heidy Cecilia Ana Ormeno Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851555759 PECOS PAC ID: 8022280221 Enrollment ID: I20111012000511 |
| Provider Name | Lalana Babugowda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366463390 PECOS PAC ID: 7416015300 Enrollment ID: I20111116000689 |
| Provider Name | Kristine Andrea Signorini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720355779 PECOS PAC ID: 9032376108 Enrollment ID: I20120131000947 |
| Provider Name | Sejal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316092299 PECOS PAC ID: 1456441922 Enrollment ID: I20120327000354 |
| Provider Name | Cathy R Kessenich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841271996 PECOS PAC ID: 7517156110 Enrollment ID: I20120417000132 |
| Provider Name | Nihalika Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528395811 PECOS PAC ID: 6002080298 Enrollment ID: I20120711000088 |
| Provider Name | Gabriela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134406606 PECOS PAC ID: 2567638554 Enrollment ID: I20120716000139 |
| Provider Name | Tina Hemme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376899500 PECOS PAC ID: 8426205709 Enrollment ID: I20120821000544 |
| Provider Name | Linda Hayslett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295069847 PECOS PAC ID: 2466600705 Enrollment ID: I20120912000236 |
| Provider Name | Yelena Zotova Bedard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609007210 PECOS PAC ID: 4688824238 Enrollment ID: I20121017000492 |
| Provider Name | Holger Fabrizio Montesdeoca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083905848 PECOS PAC ID: 3274784590 Enrollment ID: I20121115000071 |
| Provider Name | Maria Lorena Montalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700177565 PECOS PAC ID: 0648421842 Enrollment ID: I20121116000395 |
| Provider Name | Jennifer L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255683124 PECOS PAC ID: 7315199981 Enrollment ID: I20121205000187 |
| Provider Name | Stephanie L Benedict |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790724029 PECOS PAC ID: 2961586326 Enrollment ID: I20121210000327 |
| Provider Name | Ofelio Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952339855 PECOS PAC ID: 9234299876 Enrollment ID: I20121214000200 |
| Provider Name | Kenley Pierre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352790 PECOS PAC ID: 1759526353 Enrollment ID: I20130403000090 |
| Provider Name | Jesse B Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497074058 PECOS PAC ID: 4284874629 Enrollment ID: I20130709000438 |
| Provider Name | Scott E Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255596508 PECOS PAC ID: 9830369677 Enrollment ID: I20130730000631 |
| Provider Name | Carol Ann Ives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295074250 PECOS PAC ID: 2264675354 Enrollment ID: I20130820001027 |
| Provider Name | Brooke M Mobley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376719609 PECOS PAC ID: 3173767514 Enrollment ID: I20130925000032 |
| Provider Name | Marian Irizarry Febres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003189036 PECOS PAC ID: 7911131982 Enrollment ID: I20131004000464 |
| Provider Name | Manuel Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144590720 PECOS PAC ID: 5294969929 Enrollment ID: I20131010002017 |
| Provider Name | Rudina Priska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639373962 PECOS PAC ID: 9234220104 Enrollment ID: I20131014000782 |
| Provider Name | Ahmed Labib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679785711 PECOS PAC ID: 5890875041 Enrollment ID: I20131018000948 |
| Provider Name | Gabriel D Diaz-rozo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275762056 PECOS PAC ID: 5698900025 Enrollment ID: I20131021000687 |
| Provider Name | Yvonne Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265865810 PECOS PAC ID: 3779719000 Enrollment ID: I20131115000201 |
| Provider Name | Grace L Donohue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955854 PECOS PAC ID: 1456588540 Enrollment ID: I20131217000948 |
| Provider Name | Efrain Segura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619289931 PECOS PAC ID: 3779711312 Enrollment ID: I20140106000811 |
| Provider Name | Priamvada Mitra Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578884706 PECOS PAC ID: 8022246909 Enrollment ID: I20140123000471 |
| Provider Name | Daphne L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629498191 PECOS PAC ID: 0547484958 Enrollment ID: I20140604001853 |
| Provider Name | Rukiya D Roseboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497177208 PECOS PAC ID: 6305060112 Enrollment ID: I20140618001223 |
| Provider Name | Chris S Mattey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861783524 PECOS PAC ID: 3971728361 Enrollment ID: I20140626001720 |
| Provider Name | Arpit V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699047472 PECOS PAC ID: 3577781921 Enrollment ID: I20140826001808 |
| Provider Name | Bibi K Husain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518205780 PECOS PAC ID: 9436370525 Enrollment ID: I20141014000786 |
| Provider Name | Izabela K Kowal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215275623 PECOS PAC ID: 5092943845 Enrollment ID: I20141016001839 |
| Provider Name | Rodrigo Pontes Pereira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477741817 PECOS PAC ID: 4486823218 Enrollment ID: I20141229001634 |
| Provider Name | Osvaldo Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295164457 PECOS PAC ID: 7416271788 Enrollment ID: I20150114000960 |
| Provider Name | Jason R Hagerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073928537 PECOS PAC ID: 5799902771 Enrollment ID: I20150122000123 |
| Provider Name | Kyla Heusner-banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538438635 PECOS PAC ID: 5991938060 Enrollment ID: I20150122000723 |
| Provider Name | Juan A. Amador Tavarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063456028 PECOS PAC ID: 9436057122 Enrollment ID: I20150303001374 |
| Provider Name | Angel A Perez Sori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124304746 PECOS PAC ID: 1254652043 Enrollment ID: I20150604002437 |
| Provider Name | Andres C Marte-grau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447345335 PECOS PAC ID: 5395983456 Enrollment ID: I20150702001773 |
| Provider Name | Sharon D Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134539125 PECOS PAC ID: 3375760135 Enrollment ID: I20150715001133 |
| Provider Name | Liudmila Buell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427312669 PECOS PAC ID: 5193038339 Enrollment ID: I20150717000685 |
| Provider Name | Jasmine T Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417218850 PECOS PAC ID: 1153544382 Enrollment ID: I20150804004173 |
| Provider Name | Lindsey Newman-dufresne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316213507 PECOS PAC ID: 0749596534 Enrollment ID: I20150824001796 |
| Provider Name | Peter E Frances |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548526809 PECOS PAC ID: 6901113737 Enrollment ID: I20150911000210 |
| Provider Name | Balaji Raghu-obleshwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104812999 PECOS PAC ID: 0446305346 Enrollment ID: I20150926000052 |
| Provider Name | Padmavathi Malempati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194770123 PECOS PAC ID: 4981614070 Enrollment ID: I20151021003270 |
| Provider Name | Ryan M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376802710 PECOS PAC ID: 0446569636 Enrollment ID: I20151029001950 |
| Provider Name | Stephanie M. Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882223 PECOS PAC ID: 6103723226 Enrollment ID: I20151121000359 |
| Provider Name | Loida Enid Deynes-roldan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770898124 PECOS PAC ID: 2365670270 Enrollment ID: I20151203002934 |
| Provider Name | Oscar David Velez-holvino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619947041 PECOS PAC ID: 4082511969 Enrollment ID: I20151210001656 |
| Provider Name | Kristine R Everding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760568935 PECOS PAC ID: 7911039524 Enrollment ID: I20151221000696 |
| Provider Name | Barbara L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538146105 PECOS PAC ID: 7416971510 Enrollment ID: I20160114001794 |
| Provider Name | Ivonn Marcela Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393970 PECOS PAC ID: 9739487661 Enrollment ID: I20160411000407 |
| Provider Name | Niki L Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026068 PECOS PAC ID: 8921307661 Enrollment ID: I20160429001624 |
| Provider Name | Kathryn M Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316962038 PECOS PAC ID: 7113944331 Enrollment ID: I20160603000634 |
| Provider Name | Anne C Thorne-picard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326392937 PECOS PAC ID: 1850519455 Enrollment ID: I20160708000252 |
| Provider Name | Joel Rivera-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497062186 PECOS PAC ID: 2860621638 Enrollment ID: I20160719000978 |
| Provider Name | Brian S Pachmayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073564555 PECOS PAC ID: 5395732804 Enrollment ID: I20160719001923 |
| Provider Name | Javier A Lopez Moncayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932526514 PECOS PAC ID: 0042526857 Enrollment ID: I20160831001203 |
| Provider Name | Venkata M Purimetla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679710073 PECOS PAC ID: 9032233358 Enrollment ID: I20160907002657 |
| Provider Name | Yunxiang Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437492683 PECOS PAC ID: 4385930890 Enrollment ID: I20160909001138 |
| Provider Name | Jaison Joseph Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184074759 PECOS PAC ID: 6204124407 Enrollment ID: I20161004000334 |
| Provider Name | Francisco J Vega Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104136936 PECOS PAC ID: 0749407591 Enrollment ID: I20161011001868 |
| Provider Name | Candy L Gott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316397458 PECOS PAC ID: 0244518975 Enrollment ID: I20161031001097 |
| Provider Name | Lourdes Martinez Brenes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396186961 PECOS PAC ID: 2264712702 Enrollment ID: I20161129002143 |
| Provider Name | Prudhvi Rajan R Karumanchi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477723781 PECOS PAC ID: 5294906426 Enrollment ID: I20161206000963 |
| Provider Name | Sudha Kalva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336396878 PECOS PAC ID: 7911171228 Enrollment ID: I20161209000883 |
| Provider Name | Marilyn Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588114458 PECOS PAC ID: 3476834029 Enrollment ID: I20161220000695 |
| Provider Name | Rajesh Vindhya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225220023 PECOS PAC ID: 5698856953 Enrollment ID: I20170119001121 |
| Provider Name | Kristen M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790237196 PECOS PAC ID: 3274815576 Enrollment ID: I20170121000326 |
| Provider Name | Regine Hargrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831780 PECOS PAC ID: 1254616972 Enrollment ID: I20170321000877 |
| Provider Name | Monique Dieuvil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770804148 PECOS PAC ID: 6406072529 Enrollment ID: I20170530000296 |
| Provider Name | Howard S Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306889514 PECOS PAC ID: 9537100714 Enrollment ID: I20170803001673 |
| Provider Name | Avani A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932968 PECOS PAC ID: 0840563318 Enrollment ID: I20170905001745 |
| Provider Name | Nilofer Munir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407224 PECOS PAC ID: 0143594002 Enrollment ID: I20170916000238 |
| Provider Name | Aparajita Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497975304 PECOS PAC ID: 4082750336 Enrollment ID: I20170919002396 |
| Provider Name | Jacqueline Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972923050 PECOS PAC ID: 3577838648 Enrollment ID: I20170929001731 |
| Provider Name | Tun Tun Oo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982027595 PECOS PAC ID: 5991070336 Enrollment ID: I20171010003548 |
| Provider Name | Antony T Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518385798 PECOS PAC ID: 1658637681 Enrollment ID: I20171108001099 |
| Provider Name | Katri P. Palonen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992731483 PECOS PAC ID: 4183627276 Enrollment ID: I20171113001159 |
| Provider Name | Rajay D Seudath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679968655 PECOS PAC ID: 3375817992 Enrollment ID: I20171117001469 |
| Provider Name | Mareena C Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841674546 PECOS PAC ID: 4587923933 Enrollment ID: I20180123001663 |
| Provider Name | Milan C Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881700284 PECOS PAC ID: 2062507130 Enrollment ID: I20180312001142 |
| Provider Name | Susan I. Borgiasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994071 PECOS PAC ID: 4981902517 Enrollment ID: I20180320001993 |
| Provider Name | Sonia Benitez Cedeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770010506 PECOS PAC ID: 9032471362 Enrollment ID: I20180326000499 |
| Provider Name | Satish C. Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598850398 PECOS PAC ID: 3375610181 Enrollment ID: I20180615001111 |
| Provider Name | Srinivas Boppana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679839252 PECOS PAC ID: 1355667064 Enrollment ID: I20180621002542 |
| Provider Name | Kelly Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20180706001295 |
| Provider Name | Francisco Tomas Fernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679985956 PECOS PAC ID: 8123385184 Enrollment ID: I20180914002196 |
| Provider Name | Sergey Petrov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752901 PECOS PAC ID: 8123093440 Enrollment ID: I20180914002311 |
| Provider Name | Richard J Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700270675 PECOS PAC ID: 8729396908 Enrollment ID: I20180927001932 |
| Provider Name | Luis Daniel Correa Luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497721641 PECOS PAC ID: 9638112618 Enrollment ID: I20190212000657 |
| Provider Name | Liliana Maria Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992215230 PECOS PAC ID: 5890035828 Enrollment ID: I20190328002456 |
| Provider Name | Kirsten Lea Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801926001 PECOS PAC ID: 6608802053 Enrollment ID: I20190506001207 |
| Provider Name | Cynthia Ann Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316502081 PECOS PAC ID: 3971837352 Enrollment ID: I20190619002268 |
| Provider Name | Javier Amhed De La Cruz Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124561592 PECOS PAC ID: 7214261585 Enrollment ID: I20190620002968 |
| Provider Name | Cory S Pollard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104277581 PECOS PAC ID: 1557656360 Enrollment ID: I20190722000871 |
| Provider Name | Jimmy D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043780521 PECOS PAC ID: 5991032310 Enrollment ID: I20190808000564 |
| Provider Name | Theodora L Brandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102616 PECOS PAC ID: 6800124389 Enrollment ID: I20190821002988 |
| Provider Name | Gloria Elena Ossa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305819 PECOS PAC ID: 0547598534 Enrollment ID: I20190829001338 |
| Provider Name | Miguel Mestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920237 PECOS PAC ID: 8921430901 Enrollment ID: I20191113000082 |
| Provider Name | Kathryn I. Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634980 PECOS PAC ID: 1951570225 Enrollment ID: I20191118001934 |
| Provider Name | Cassandra B. Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093366445 PECOS PAC ID: 9234562463 Enrollment ID: I20191202002763 |
| Provider Name | Gwendolyn M Casanova Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891985198 PECOS PAC ID: 7315010386 Enrollment ID: I20200109001736 |
| Provider Name | Amanda M Gicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295378248 PECOS PAC ID: 3678908597 Enrollment ID: I20200122002060 |
| Provider Name | Lewen Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407612 PECOS PAC ID: 4688896624 Enrollment ID: I20200427001378 |
| Provider Name | Adam Michael Deyoung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306292339 PECOS PAC ID: 5092138107 Enrollment ID: I20200708002043 |
| Provider Name | Anika Toor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215477161 PECOS PAC ID: 6002230208 Enrollment ID: I20200721002884 |
| Provider Name | Joni Faye A Jabonite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417290792 PECOS PAC ID: 3476787599 Enrollment ID: I20200722001835 |
| Provider Name | Joany Reyne Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992239453 PECOS PAC ID: 4284059940 Enrollment ID: I20200729001561 |
| Provider Name | Megan G Mcgrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386802692 PECOS PAC ID: 4486717535 Enrollment ID: I20200804000682 |
| Provider Name | Christelle Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922534684 PECOS PAC ID: 1850716846 Enrollment ID: I20200807001877 |
| Provider Name | Suzette S Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902899321 PECOS PAC ID: 8022085455 Enrollment ID: I20200812000565 |
| Provider Name | Unnati Wardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730610213 PECOS PAC ID: 8628341690 Enrollment ID: I20200814000462 |
| Provider Name | Fanny N Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952840506 PECOS PAC ID: 8426393745 Enrollment ID: I20200817002930 |
| Provider Name | Geeta Mehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457884249 PECOS PAC ID: 2961829262 Enrollment ID: I20200901002640 |
| Provider Name | Ashleyrae Donald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467894501 PECOS PAC ID: 3678891769 Enrollment ID: I20200918001296 |
| Provider Name | Hemendra S. Sarda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508185992 PECOS PAC ID: 6800037599 Enrollment ID: I20200921001703 |
| Provider Name | Charlton E Collie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123426 PECOS PAC ID: 6305061375 Enrollment ID: I20200924000877 |
| Provider Name | Francisco Steven Rodriguez Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306324728 PECOS PAC ID: 0143642132 Enrollment ID: I20201022000200 |
| Provider Name | Maika T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891134243 PECOS PAC ID: 8729365259 Enrollment ID: I20201110003389 |
| Provider Name | Thomas E Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154388759 PECOS PAC ID: 6103919709 Enrollment ID: I20201123001346 |
| Provider Name | Kailey Ann Wickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073120093 PECOS PAC ID: 5395156087 Enrollment ID: I20201202000432 |
| Provider Name | Claudia Danitza Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639598097 PECOS PAC ID: 9537413315 Enrollment ID: I20201207000501 |
| Provider Name | Diego Kriger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174972012 PECOS PAC ID: 7113251448 Enrollment ID: I20210303002863 |
| Provider Name | Samantha Adair Erb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073019576 PECOS PAC ID: 0042635435 Enrollment ID: I20210708001608 |
| Provider Name | Chukwuka George Ayetin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508354432 PECOS PAC ID: 2062814353 Enrollment ID: I20210708002954 |
| Provider Name | Rayda S Rosado Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881957470 PECOS PAC ID: 8224258470 Enrollment ID: I20210712004006 |
| Provider Name | Kyle Borodunovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396232229 PECOS PAC ID: 4981934833 Enrollment ID: I20210714000626 |
| Provider Name | Asif Saeed Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508369323 PECOS PAC ID: 2264834274 Enrollment ID: I20210714000752 |
| Provider Name | Jeffrey Luther Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699263483 PECOS PAC ID: 1850793787 Enrollment ID: I20210714001754 |
| Provider Name | Jorge A Torras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811498082 PECOS PAC ID: 2567715758 Enrollment ID: I20210720001624 |
| Provider Name | Courtney Lynn Costantino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851888366 PECOS PAC ID: 3274936612 Enrollment ID: I20210723000013 |
| Provider Name | Meryem Maras-casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043708092 PECOS PAC ID: 1153725122 Enrollment ID: I20210812003035 |
| Provider Name | Joannie Silva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790376242 PECOS PAC ID: 5294130738 Enrollment ID: I20210823001368 |
| Provider Name | Roshni M Leboutillier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780171793 PECOS PAC ID: 5799180147 Enrollment ID: I20210823002146 |
| Provider Name | Judith F Paulino De Toribio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366930638 PECOS PAC ID: 1052656162 Enrollment ID: I20210826001391 |
| Provider Name | Mary A Stettmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679766000 PECOS PAC ID: 7618193483 Enrollment ID: I20210831001008 |
| Provider Name | Tai S Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962942672 PECOS PAC ID: 5991110967 Enrollment ID: I20210903001127 |
| Provider Name | Thuy D. Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818615 PECOS PAC ID: 3274939624 Enrollment ID: I20210909002311 |
| Provider Name | Danielle S Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033398409 PECOS PAC ID: 7214105535 Enrollment ID: I20211013000439 |
| Provider Name | Daniel A Lumpuy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154827988 PECOS PAC ID: 5092103614 Enrollment ID: I20211101000221 |
| Provider Name | Maria Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780044453 PECOS PAC ID: 3173816709 Enrollment ID: I20211129002688 |
| Provider Name | Bryan P Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568952869 PECOS PAC ID: 2668862616 Enrollment ID: I20211206001418 |
| Provider Name | Lourdes Taveras Marte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235511452 PECOS PAC ID: 1355693276 Enrollment ID: I20211220001620 |
| Provider Name | Crystal Dionne Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043708399 PECOS PAC ID: 1456744978 Enrollment ID: I20220205000002 |
| Provider Name | Yamira M Aleman Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700527991 PECOS PAC ID: 4385031921 Enrollment ID: I20220428001521 |
| Provider Name | Matthew W Mahony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801279088 PECOS PAC ID: 1153663695 Enrollment ID: I20220610001700 |
| Provider Name | William Baladron Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629531348 PECOS PAC ID: 4385973833 Enrollment ID: I20220614001168 |
| Provider Name | Joseph Moussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619483245 PECOS PAC ID: 6709123839 Enrollment ID: I20220616003013 |
| Provider Name | Laura C Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699234526 PECOS PAC ID: 0840670345 Enrollment ID: I20220630000149 |
| Provider Name | Sandeep Naresh Chugani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659831253 PECOS PAC ID: 6204216500 Enrollment ID: I20220705000763 |
| Provider Name | Mimi S Bach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902251861 PECOS PAC ID: 4981993417 Enrollment ID: I20220722001219 |
| Provider Name | Louella Pritchette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104161017 PECOS PAC ID: 7012216484 Enrollment ID: I20220812000494 |
| Provider Name | Mohamed E Meleis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396742342 PECOS PAC ID: 3173574415 Enrollment ID: I20220817000568 |
| Provider Name | Taisha W Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023638483 PECOS PAC ID: 4880080902 Enrollment ID: I20220829003610 |
| Provider Name | Anca Voinov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700099819 PECOS PAC ID: 8325175086 Enrollment ID: I20220830003053 |
| Provider Name | Dalia Elsemary |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851415046 PECOS PAC ID: 9436245131 Enrollment ID: I20220920001488 |
| Provider Name | Sarah Burst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700347218 PECOS PAC ID: 8022422633 Enrollment ID: I20221028000080 |
| Provider Name | Matthew A Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750949673 PECOS PAC ID: 4688042682 Enrollment ID: I20221123000430 |
| Provider Name | Selina Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568571453 PECOS PAC ID: 4486711827 Enrollment ID: I20230228000627 |
| Provider Name | Daris A Acosta Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538871876 PECOS PAC ID: 8921471459 Enrollment ID: I20230303002309 |
| Provider Name | Inemesit G Udo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114229051 PECOS PAC ID: 0941483887 Enrollment ID: I20230428000631 |
| Provider Name | Saurabh Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871055418 PECOS PAC ID: 0345622684 Enrollment ID: I20230505001425 |
| Provider Name | Latifah J. Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518661008 PECOS PAC ID: 3375900145 Enrollment ID: I20230609000999 |
| Provider Name | Jennifer N Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616945 PECOS PAC ID: 6901233535 Enrollment ID: I20230619000002 |
| Provider Name | Deren Goker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194352849 PECOS PAC ID: 4486015070 Enrollment ID: I20230728002941 |
| Provider Name | Sidharth Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831726504 PECOS PAC ID: 3375974017 Enrollment ID: I20230801001859 |
| Provider Name | Andi Canhasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053948166 PECOS PAC ID: 9638530074 Enrollment ID: I20230801002411 |
| Provider Name | Hadra H. Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447788104 PECOS PAC ID: 7618391822 Enrollment ID: I20230804002722 |
| Provider Name | Andrew Bryce Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770263725 PECOS PAC ID: 8729432273 Enrollment ID: I20231002003098 |
| Provider Name | Linet Nyaribo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407389711 PECOS PAC ID: 6800165416 Enrollment ID: I20231003003799 |
| Provider Name | Anne Socorro Corrales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831726108 PECOS PAC ID: 4587068549 Enrollment ID: I20231005001093 |
| Provider Name | Zurisaday Santana Celorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215551577 PECOS PAC ID: 9436506888 Enrollment ID: I20231107003430 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |