| Empath Community Health Llc | |
|
5771 Roosevelt Blvd Clearwater FL 33760-3407 | |
| (727) 586-4432 | |
| Not Available |
| Full Name | Empath Community Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5771 Roosevelt Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Saida Bouhamid (CFO) |
| Authorized Official Contact | 9415527500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empath Community Health Llc 5771 Roosevelt Blvd Clearwater FL 33760-3407 Ph: () - | Empath Community Health Llc 5771 Roosevelt Blvd Clearwater FL 33760-3407 Ph: (727) 586-4432 |
| NPI Number | 1669817516 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 8527368877 |
|---|---|
| Medicare Enrollment ID | O20151118002340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669817516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Allen Prosser |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023154515 PECOS PAC ID: 1658393871 Enrollment ID: I20051230000408 |
| Provider Name | Mary C Waechter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942284872 PECOS PAC ID: 0648373860 Enrollment ID: I20070308000416 |
| Provider Name | Lorie Thompson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710312236 PECOS PAC ID: 7719275254 Enrollment ID: I20161015000165 |
| Provider Name | Tarica-tory M Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912451154 PECOS PAC ID: 1355620121 Enrollment ID: I20161118000261 |
| Provider Name | Eman Huling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104481720 PECOS PAC ID: 4981930435 Enrollment ID: I20190723000307 |
| Provider Name | Charsetta Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972117026 PECOS PAC ID: 6507272630 Enrollment ID: I20210315001895 |
| Provider Name | Deanna M Duch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396715488 PECOS PAC ID: 8325077043 Enrollment ID: I20211111000683 |
| Provider Name | Romy Aedo Parada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386236438 PECOS PAC ID: 6507256427 Enrollment ID: I20211208003552 |
| Provider Name | Susan W Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871568105 PECOS PAC ID: 1254727043 Enrollment ID: I20220404001497 |
| Provider Name | Megan Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265952485 PECOS PAC ID: 4486910767 Enrollment ID: I20220407000070 |
| Provider Name | Jason Alexander Peklinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790102184 PECOS PAC ID: 2062715626 Enrollment ID: I20220413002756 |
| Provider Name | Rachelle Peklinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063821064 PECOS PAC ID: 5294057204 Enrollment ID: I20220826000101 |
| Provider Name | Yuan Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326762790 PECOS PAC ID: 9032586748 Enrollment ID: I20221109003381 |
| Provider Name | Megan Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548816812 PECOS PAC ID: 9234469297 Enrollment ID: I20231004001814 |
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