| Florida Post Acute Care Clinicians, Llc | |
|
3601 Sw 160th Ave Ste 250 Miramar FL 33027-6308 | |
| (877) 866-7123 | |
| Not Available |
| Full Name | Florida Post Acute Care Clinicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3601 Sw 160th Ave, Miramar, Florida |
| Authorized Official Name and Position | Luis Vissepo (ATTORNEY) |
| Authorized Official Contact | 9543994618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Post Acute Care Clinicians, Llc 3601 Sw 160th Ave Ste 250 Miramar FL 33027-6308 Ph: (877) 866-7123 | Florida Post Acute Care Clinicians, Llc 3601 Sw 160th Ave Ste 250 Miramar FL 33027-6308 Ph: (877) 866-7123 |
| NPI Number | 1811398811 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 10/12/2021 |
| Medicare PECOS PAC ID | 3971820598 |
|---|---|
| Medicare Enrollment ID | O20150319001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811398811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| Provider Name | Lynn M Harper-nimock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164458865 PECOS PAC ID: 5890682868 Enrollment ID: I20040303000833 |
| Provider Name | Robert J Chaskes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750486155 PECOS PAC ID: 3870481450 Enrollment ID: I20040305000682 |
| Provider Name | Karlene E Sinclair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265456339 PECOS PAC ID: 6103807375 Enrollment ID: I20040526000863 |
| Provider Name | Shark M Bird |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346355849 PECOS PAC ID: 6901873926 Enrollment ID: I20040910000356 |
| Provider Name | Gayle D Feliciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780696310 PECOS PAC ID: 9335101625 Enrollment ID: I20041029000111 |
| Provider Name | Jerry C Padrta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770591406 PECOS PAC ID: 8628026192 Enrollment ID: I20050111000798 |
| Provider Name | Glenn E Summers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982694378 PECOS PAC ID: 5799741609 Enrollment ID: I20050901000026 |
| Provider Name | Aimee Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134282585 PECOS PAC ID: 7012019847 Enrollment ID: I20070226000654 |
| Provider Name | Luis R Rosas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710923214 PECOS PAC ID: 7810099561 Enrollment ID: I20070306000508 |
| Provider Name | Michael Hillary Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649243114 PECOS PAC ID: 2264420041 Enrollment ID: I20070913000293 |
| Provider Name | Dorothy L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518075407 PECOS PAC ID: 5294823852 Enrollment ID: I20071114000577 |
| Provider Name | Hanson V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811928237 PECOS PAC ID: 4789774555 Enrollment ID: I20071217000471 |
| Provider Name | Katherine Langston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528183241 PECOS PAC ID: 7416989041 Enrollment ID: I20080212000613 |
| Provider Name | John Fulginiti, Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235216888 PECOS PAC ID: 0143304733 Enrollment ID: I20080220000562 |
| Provider Name | Farid Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205018843 PECOS PAC ID: 0749355295 Enrollment ID: I20080818000440 |
| Provider Name | Helen Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780733006 PECOS PAC ID: 4385702265 Enrollment ID: I20081021000731 |
| Provider Name | William E Palin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033227707 PECOS PAC ID: 7416004767 Enrollment ID: I20090402000599 |
| Provider Name | Kristin L Wulff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285771444 PECOS PAC ID: 5799876637 Enrollment ID: I20091007000274 |
| Provider Name | Michael O Mckinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508190638 PECOS PAC ID: 6103967286 Enrollment ID: I20100112000250 |
| Provider Name | Quynhanh H Pham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235167099 PECOS PAC ID: 6002700218 Enrollment ID: I20100416000339 |
| Provider Name | Jose V Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528208691 PECOS PAC ID: 9638293384 Enrollment ID: I20100901000476 |
| Provider Name | Michael James Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457533010 PECOS PAC ID: 3577645985 Enrollment ID: I20100903000709 |
| Provider Name | Kacian Simone Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508029141 PECOS PAC ID: 2466590492 Enrollment ID: I20101020001257 |
| Provider Name | Barbara C Aguilar Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235338419 PECOS PAC ID: 0840486262 Enrollment ID: I20101124001018 |
| Provider Name | Jack M Trainor Ii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033155171 PECOS PAC ID: 8729000161 Enrollment ID: I20101211000025 |
| Provider Name | Joshua E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649484056 PECOS PAC ID: 7113116179 Enrollment ID: I20110106001069 |
| Provider Name | Guilad Pribluda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356516843 PECOS PAC ID: 9436328242 Enrollment ID: I20110812000316 |
| Provider Name | Hugo A St John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467729038 PECOS PAC ID: 6901060821 Enrollment ID: I20120605000613 |
| Provider Name | Linda Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588890859 PECOS PAC ID: 2567612948 Enrollment ID: I20121019000471 |
| Provider Name | Emad A Eisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725749 PECOS PAC ID: 9830338995 Enrollment ID: I20130620000513 |
| Provider Name | Amaury Guerra Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063742740 PECOS PAC ID: 9537308481 Enrollment ID: I20130625000610 |
| Provider Name | Sanjiv Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598921173 PECOS PAC ID: 6800035767 Enrollment ID: I20130625000746 |
| Provider Name | Gabriel Betancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497001663 PECOS PAC ID: 4183849672 Enrollment ID: I20140625000579 |
| Provider Name | Tanisha N Maze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437396652 PECOS PAC ID: 3577741529 Enrollment ID: I20141210002460 |
| Provider Name | John J Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194767335 PECOS PAC ID: 4183513047 Enrollment ID: I20150224001898 |
| Provider Name | Rizwan R Kalwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831488402 PECOS PAC ID: 9830374289 Enrollment ID: I20150820011024 |
| Provider Name | Tara P Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588634687 PECOS PAC ID: 9931184223 Enrollment ID: I20160106002897 |
| Provider Name | Alyssa A Paetau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851530216 PECOS PAC ID: 9234388711 Enrollment ID: I20160219000492 |
| Provider Name | Armando J Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336496272 PECOS PAC ID: 5193014918 Enrollment ID: I20160518001705 |
| Provider Name | John H Tiller |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376754382 PECOS PAC ID: 2264723733 Enrollment ID: I20160614002056 |
| Provider Name | Adam Quinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508108424 PECOS PAC ID: 4688967649 Enrollment ID: I20160728000582 |
| Provider Name | Ada L Rivera Cruz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821321977 PECOS PAC ID: 2062709355 Enrollment ID: I20160930000468 |
| Provider Name | Marc S Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447430426 PECOS PAC ID: 6608856521 Enrollment ID: I20170120001500 |
| Provider Name | Amanda E Pruett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730493701 PECOS PAC ID: 0345522546 Enrollment ID: I20170124001274 |
| Provider Name | Tatyana Faynberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679866537 PECOS PAC ID: 3971885963 Enrollment ID: I20170127000886 |
| Provider Name | Linda J Beltra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730165879 PECOS PAC ID: 6305068677 Enrollment ID: I20170324002124 |
| Provider Name | Angel L Ramos-garriga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235457391 PECOS PAC ID: 5890937205 Enrollment ID: I20170508000839 |
| Provider Name | Leah M Matlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396078663 PECOS PAC ID: 0446529754 Enrollment ID: I20170629002232 |
| Provider Name | Morris E Gales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538160908 PECOS PAC ID: 1153380084 Enrollment ID: I20170815003250 |
| Provider Name | John J Kemerer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386696599 PECOS PAC ID: 4385657022 Enrollment ID: I20180518000198 |
| Provider Name | William A Blackwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215162078 PECOS PAC ID: 6800050774 Enrollment ID: I20180731002381 |
| Provider Name | Nathaniel J. Walsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255695185 PECOS PAC ID: 6406094184 Enrollment ID: I20181001000683 |
| Provider Name | Cristina Vanessa Vila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437492089 PECOS PAC ID: 4688926918 Enrollment ID: I20181015000904 |
| Provider Name | Derrick H Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629568340 PECOS PAC ID: 5294089447 Enrollment ID: I20181107001095 |
| Provider Name | Richard Fontanez-aldea |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1548435969 PECOS PAC ID: 7810059540 Enrollment ID: I20190321002058 |
| Provider Name | Angela M Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083657985 PECOS PAC ID: 7012904881 Enrollment ID: I20190607000379 |
| Provider Name | Bradley R Drury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487975975 PECOS PAC ID: 0547542870 Enrollment ID: I20190621001354 |
| Provider Name | Daniel J Durocher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720529209 PECOS PAC ID: 6305174517 Enrollment ID: I20190827000742 |
| Provider Name | Benyam P Yoseph |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114312261 PECOS PAC ID: 7618286790 Enrollment ID: I20190930001239 |
| Provider Name | Eileen Super |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124465067 PECOS PAC ID: 7719126762 Enrollment ID: I20191023001513 |
| Provider Name | Roberto J Mendez |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942249503 PECOS PAC ID: 4385801273 Enrollment ID: I20191113001419 |
| Provider Name | Raj S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073995049 PECOS PAC ID: 5395087811 Enrollment ID: I20200303001528 |
| Provider Name | Chandra M Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649707597 PECOS PAC ID: 5092084889 Enrollment ID: I20200415002250 |
| Provider Name | Melanie A Manney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584297 PECOS PAC ID: 2769526268 Enrollment ID: I20200528000178 |
| Provider Name | Adetayo Lawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407218944 PECOS PAC ID: 6800174244 Enrollment ID: I20200813002042 |
| Provider Name | Neal Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003357252 PECOS PAC ID: 4880953215 Enrollment ID: I20200813002404 |
| Provider Name | Asha Tenday Logan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063656411 PECOS PAC ID: 2365580370 Enrollment ID: I20210518000041 |
| Provider Name | Jacqueline Wright |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407236474 PECOS PAC ID: 0446517601 Enrollment ID: I20210608000163 |
| Provider Name | Damian Korsich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356875819 PECOS PAC ID: 6103229760 Enrollment ID: I20210721000123 |
| Provider Name | James Ebot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083141899 PECOS PAC ID: 1951670587 Enrollment ID: I20210730002381 |
| Provider Name | Ian Woods |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760820526 PECOS PAC ID: 3476826603 Enrollment ID: I20211222001778 |
| Provider Name | Daniel J Bonomo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285738625 PECOS PAC ID: 0840279436 Enrollment ID: I20220106002056 |
| Provider Name | Kimberly A Barrie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396720173 PECOS PAC ID: 6507890159 Enrollment ID: I20220211000030 |
| Provider Name | Michael B Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295293835 PECOS PAC ID: 4385073873 Enrollment ID: I20220221001590 |
| Provider Name | Joseph Alexander Halinski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982191557 PECOS PAC ID: 8224411301 Enrollment ID: I20220823001555 |
| Provider Name | Timothy H Do |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144856113 PECOS PAC ID: 6305260209 Enrollment ID: I20220921000664 |
| Provider Name | Traci E Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730161951 PECOS PAC ID: 0941299606 Enrollment ID: I20221219000860 |
| Provider Name | Chantel Tessmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184118978 PECOS PAC ID: 0244666071 Enrollment ID: I20230118002391 |
| Provider Name | Eric H Gruenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174975734 PECOS PAC ID: 8628451317 Enrollment ID: I20230120002476 |
| Provider Name | Mohammad F Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447711767 PECOS PAC ID: 8325379886 Enrollment ID: I20230824000437 |
| Provider Name | Paul A Fickey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659733301 PECOS PAC ID: 7012200074 Enrollment ID: I20231018001755 |
| Provider Name | Allyson Koffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699230102 PECOS PAC ID: 4688020969 Enrollment ID: I20231023001699 |
| Provider Name | Amado Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604263 PECOS PAC ID: 2466801477 Enrollment ID: I20231214003868 |
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