| 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 11530 Blue Woods Dr Riverview FL 33569-2747 Ph: (407) 913-1099 | 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 | 09/05/2022 |
| Medicare PECOS PAC ID | 6204213614 |
|---|---|
| Medicare Enrollment ID | O20220524000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164183869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan Dychko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063972420 PECOS PAC ID: 2860729753 Enrollment ID: I20220524001115 |
| Provider Name | Kaitlin Kavanagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529995 PECOS PAC ID: 7618343666 Enrollment ID: I20221017002880 |
| Provider Name | Krista Blau Longmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710603527 PECOS PAC ID: 7719322924 Enrollment ID: I20240228000015 |
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 | |
Marquez Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 953 Del Webb Blvd East, Sun City Center, FL 33573 Phone: 813-634-6880 Fax: 813-634-6833 |