Evolution Medical Associates | |
604 Druid Rd E Clearwater FL 33756-3912 | |
(727) 365-5126 | |
Not Available |
Full Name | Evolution Medical Associates |
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Speciality | Clinic/Center |
Location | 604 Druid Rd E, Clearwater, Florida |
Authorized Official Name and Position | Mary Ellen Kramp (MANAGER) |
Authorized Official Contact | 7272163492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evolution Medical Associates 12454 81st Ct Seminole FL 33772-4409 Ph: (727) 365-5126 | Evolution Medical Associates 604 Druid Rd E Clearwater FL 33756-3912 Ph: (727) 365-5126 |
NPI Number | 1306302260 |
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Provider Enumeration Date | 02/15/2019 |
Last Update Date | 10/08/2019 |
Medicare PECOS PAC ID | 3476892001 |
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Medicare Enrollment ID | O20190226003019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306302260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Mary Ellen Kramp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568430510 PECOS PAC ID: 3476572082 Enrollment ID: I20051114000226 |
Provider Name | Nicole S Hamel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750409751 PECOS PAC ID: 5092855890 Enrollment ID: I20091229000235 |
Provider Name | Matthew W Kramp |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073540712 PECOS PAC ID: 1052200888 Enrollment ID: I20190226003160 |
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