| Delta Medical Associates, Llc | |
|
4606 62nd Ave E Bradenton FL 34203-6306 | |
| (856) 287-1775 | |
| Not Available |
| Full Name | Delta Medical Associates, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4606 62nd Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Dennis Demaria (OWNER) |
| Authorized Official Contact | 8562871775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Medical Associates, Llc 4606 62nd Ave E Bradenton FL 34203-6306 Ph: (856) 287-1775 | Delta Medical Associates, Llc 4606 62nd Ave E Bradenton FL 34203-6306 Ph: (856) 287-1775 |
| NPI Number | 1902281264 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Medicare PECOS PAC ID | 5890002331 |
|---|---|
| Medicare Enrollment ID | O20150916002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902281264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME116794 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9338988 (Florida) | Primary |
| Provider Name | Yves Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871542043 PECOS PAC ID: 1951362193 Enrollment ID: I20041021000541 |
| Provider Name | Jeanna Hepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215048483 PECOS PAC ID: 2163421892 Enrollment ID: I20070123000161 |
| Provider Name | Daniel Amoah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063612927 PECOS PAC ID: 9931292117 Enrollment ID: I20070904000466 |
| Provider Name | Tracy Ann Vasile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740216118 PECOS PAC ID: 8224034590 Enrollment ID: I20071126000496 |
| Provider Name | Michael Piety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241607 PECOS PAC ID: 0648424952 Enrollment ID: I20130213000332 |
| Provider Name | Debra A Demaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508059049 PECOS PAC ID: 2365461597 Enrollment ID: I20130313000115 |
| Provider Name | Peter Sadasivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881796779 PECOS PAC ID: 4688655756 Enrollment ID: I20131104001480 |
| Provider Name | Esther M Avellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881015519 PECOS PAC ID: 9537398722 Enrollment ID: I20140211000709 |
| Provider Name | Jessica L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932521127 PECOS PAC ID: 0345470555 Enrollment ID: I20140310001387 |
| Provider Name | Kari N Holly-dumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102594 PECOS PAC ID: 6305122144 Enrollment ID: I20170411000924 |
| Provider Name | Carolyn Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376008813 PECOS PAC ID: 3577803659 Enrollment ID: I20190328000084 |
| Provider Name | Elena R Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420601 PECOS PAC ID: 2769819739 Enrollment ID: I20200304000661 |
| Provider Name | Jessica Eldridge-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932745932 PECOS PAC ID: 7012329964 Enrollment ID: I20201217000499 |
| Provider Name | Javier Orta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700460573 PECOS PAC ID: 7012310642 Enrollment ID: I20210720003090 |
| Provider Name | Christine Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487644647 PECOS PAC ID: 8820988066 Enrollment ID: I20220502002228 |
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