| Healthy Home Primary Care LLC | |
|
819 Cypress Village Blvd Sun City Center FL 33573-6834 | |
| (813) 922-2660 | |
| Not Available |
| Full Name | Healthy Home Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 819 Cypress Village Blvd, Sun City Center, Florida |
| Authorized Official Name and Position | Jonathan Dychko (CEO) |
| Authorized Official Contact | 8139222660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Home Primary Care LLC 819 Cypress Village Blvd Sun City Center FL 33573-6834 Ph: (813) 922-2660 | Healthy Home Primary Care LLC 819 Cypress Village Blvd Sun City Center FL 33573-6834 Ph: (813) 922-2660 |
| NPI Number | 1164183869 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 6204213614 |
|---|---|
| Medicare Enrollment ID | O20220524000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164183869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kerry a Cadogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265743058 PECOS PAC ID: 9436378007 Enrollment ID: I20140912000964 |
| Provider Name | Jonathan Dychko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063972420 PECOS PAC ID: 2860729753 Enrollment ID: I20220524001115 |
| Provider Name | Cailin Malinda Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881476828 PECOS PAC ID: 3577915594 Enrollment ID: I20240116000854 |
| Provider Name | Nicole Fore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881170686 PECOS PAC ID: 7719236033 Enrollment ID: I20240216000145 |
| Provider Name | Krista Blau Longmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710603527 PECOS PAC ID: 7719322924 Enrollment ID: I20240228000015 |
| Provider Name | Wesley Bland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255965810 PECOS PAC ID: 5092144246 Enrollment ID: I20250606000564 |
| Provider Name | Jarrod William Battles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225907165 PECOS PAC ID: 8820571664 Enrollment ID: I20260310004558 |
Ashok Kumar Dhaduvai MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1649 Sun City Center Plz Ste 101, Sun City Center, FL 33573 Phone: 813-633-2894 Fax: 813-260-3465 |
Burhaan Ahmad, M.D., P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4020 Sun City Center Blvd, Suite #1, Sun City Center, FL 33573 Phone: 813-634-5502 Fax: 813-633-2702 |
Joseph P. Labarbera, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4020 Sun City Center Blvd, Suite #1, Sun City Center, FL 33573 Phone: 813-634-5502 Fax: 813-633-2702 |
Rhc Sun City Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-460-2098 |
Dba Verimed Health Group, Sun City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 S Pebble Beach Blvd, Suite 207, Sun City Center, FL 33573 Phone: 813-415-5038 |
Regenerative Health Centers LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 727-337-2162 |