| Healthstone Primary Care Partners Llc | |
|
3700 Washington St Suite 305 Hollywood FL 33021-8256 | |
| (954) 981-7060 | |
| (954) 983-8510 |
| Full Name | Healthstone Primary Care Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Washington St, Hollywood, Florida |
| Authorized Official Name and Position | Charles B Stone (MANAGER) |
| Authorized Official Contact | 9545596400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthstone Primary Care Partners Llc 797 Sunflower Cir Weston FL 33327-2113 Ph: (954) 559-6400 | Healthstone Primary Care Partners Llc 3700 Washington St Suite 305 Hollywood FL 33021-8256 Ph: (954) 981-7060 |
| NPI Number | 1205280260 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 08/10/2016 |
| Medicare PECOS PAC ID | 7416230693 |
|---|---|
| Medicare Enrollment ID | O20170214000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205280260 | NPI | - | NPPES |
| L16000050732 | Other | FL | STATE OF FLORIDA CORPORATION ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84181 (Florida) | Primary |
| Provider Name | Saad Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093848 PECOS PAC ID: 3274520374 Enrollment ID: I20040429001481 |
| Provider Name | Charles B Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881700615 PECOS PAC ID: 3274574017 Enrollment ID: I20050521000009 |
| Provider Name | Gilbert R Weiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134137128 PECOS PAC ID: 4688697717 Enrollment ID: I20060111000357 |
| Provider Name | Hector A Fabregas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194933556 PECOS PAC ID: 6709964026 Enrollment ID: I20080425000569 |
| Provider Name | Wayne N Evancho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619069804 PECOS PAC ID: 1850451923 Enrollment ID: I20081119000284 |
| Provider Name | Rene A Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083634372 PECOS PAC ID: 7315915709 Enrollment ID: I20090618000703 |
| Provider Name | Leonard J Hoenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093731739 PECOS PAC ID: 9436336328 Enrollment ID: I20110601000533 |
| Provider Name | Carolina Marana De Varona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679965586 PECOS PAC ID: 4688985435 Enrollment ID: I20150619000854 |
| Provider Name | Jensy Kurien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104204700 PECOS PAC ID: 8022328053 Enrollment ID: I20151103003145 |
| Provider Name | Svetlana F Polyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164871745 PECOS PAC ID: 7517251416 Enrollment ID: I20160815001950 |
| Provider Name | Gerard F Acloque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154687507 PECOS PAC ID: 9537454996 Enrollment ID: I20160824000791 |
| Provider Name | Kevin A Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396266896 PECOS PAC ID: 6002179629 Enrollment ID: I20180413000121 |
| Provider Name | Justin Yaakov Shemesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720442130 PECOS PAC ID: 3971866179 Enrollment ID: I20180423001758 |
| Provider Name | Yul Marietta Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938282 PECOS PAC ID: 3375886609 Enrollment ID: I20190529002946 |
| Provider Name | Jose Julian Luna Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902425820 PECOS PAC ID: 4688004260 Enrollment ID: I20200422002115 |
| Provider Name | Daphia Tachia Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275019192 PECOS PAC ID: 7911326194 Enrollment ID: I20201008000437 |
| Provider Name | Tiffny V Chilampath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710421052 PECOS PAC ID: 4183034069 Enrollment ID: I20201104000782 |
| Provider Name | Stephanie Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902411820 PECOS PAC ID: 1254742448 Enrollment ID: I20201118003292 |
| Provider Name | Carline Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885440 PECOS PAC ID: 3072924000 Enrollment ID: I20201124001620 |
| Provider Name | Vanessa Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235739897 PECOS PAC ID: 4688089865 Enrollment ID: I20210222000857 |
| Provider Name | Sofia Reyes Weinstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235737461 PECOS PAC ID: 8224443429 Enrollment ID: I20210222001356 |
| Provider Name | Mario Ignacio Quintana Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104441161 PECOS PAC ID: 9032513445 Enrollment ID: I20210806002364 |
| Provider Name | Kelley R Maple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679115653 PECOS PAC ID: 3870990468 Enrollment ID: I20210924000115 |
| Provider Name | Debralyn M Mcclarnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154961811 PECOS PAC ID: 9537557004 Enrollment ID: I20211102003385 |
| Provider Name | Deborah A Dergan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477936219 PECOS PAC ID: 7416209994 Enrollment ID: I20220119003028 |
| Provider Name | Yuliett Collazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396136776 PECOS PAC ID: 6103202767 Enrollment ID: I20221005000405 |
| Provider Name | Leslie Ann Sheree Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225703887 PECOS PAC ID: 9931585866 Enrollment ID: I20230417002974 |
| Provider Name | Noorah Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457063026 PECOS PAC ID: 9032555156 Enrollment ID: I20240312002062 |
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