| Heal Precisely Of Northside Llc | |
|
5880 49th St N Ste N201 St Petersburg FL 33709-2150 | |
| (727) 300-0405 | |
| Not Available |
| Full Name | Heal Precisely Of Northside Llc |
|---|---|
| Speciality | General Practice |
| Location | 5880 49th St N Ste N201, St Petersburg, Florida |
| Authorized Official Name and Position | Jennifer Rivard (OWNER) |
| Authorized Official Contact | 7273000405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Precisely Of Northside Llc 5880 49th St N Ste N201 St Petersburg FL 33709-2150 Ph: (727) 300-0405 | Heal Precisely Of Northside Llc 5880 49th St N Ste N201 St Petersburg FL 33709-2150 Ph: (727) 300-0405 |
| NPI Number | 1093433674 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 9537544853 |
|---|---|
| Medicare Enrollment ID | O20220922000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093433674 | NPI | - | NPPES |
| Provider Name | John Battista Decosmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396721221 PECOS PAC ID: 8628102423 Enrollment ID: I20100816000738 |
| Provider Name | Ali Saberi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649495276 PECOS PAC ID: 6709946486 Enrollment ID: I20110512000442 |
| Provider Name | Eric J Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962630004 PECOS PAC ID: 6800051145 Enrollment ID: I20120711000430 |
| Provider Name | April Rose Skeins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558950626 PECOS PAC ID: 8820406762 Enrollment ID: I20210414001869 |
| Provider Name | Yisel Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956359 PECOS PAC ID: 9739589110 Enrollment ID: I20210608000706 |
| Provider Name | Anne M Jetton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050371 PECOS PAC ID: 2062803885 Enrollment ID: I20220407001463 |
| Provider Name | Jessica Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740954692 PECOS PAC ID: 6709273774 Enrollment ID: I20220420002823 |
| Provider Name | Patrick Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366177719 PECOS PAC ID: 8820473747 Enrollment ID: I20220913003405 |
| Provider Name | Christina Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902546674 PECOS PAC ID: 3274904404 Enrollment ID: I20230125002204 |
| Provider Name | Susan Kiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159446 PECOS PAC ID: 8325411879 Enrollment ID: I20230302002031 |
| Provider Name | Amber Gephart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356022941 PECOS PAC ID: 4688023823 Enrollment ID: I20231213000487 |
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