| Holy Cross Primary Care, Inc | |
|
8190 Royal Palm Blvd Suite 100 Coral Springs FL 33065-5706 | |
| (954) 344-6537 | |
| Not Available |
| Full Name | Holy Cross Primary Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8190 Royal Palm Blvd, Coral Springs, Florida |
| Authorized Official Name and Position | Linda Wilford (SVP/CFO) |
| Authorized Official Contact | 9547718000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Cross Primary Care, Inc 8190 Royal Palm Blvd Suite 100 Coral Springs FL 33065-5706 Ph: (954) 344-6537 | Holy Cross Primary Care, Inc 8190 Royal Palm Blvd Suite 100 Coral Springs FL 33065-5706 Ph: (954) 344-6537 |
| NPI Number | 1740637735 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 0143515932 |
|---|---|
| Medicare Enrollment ID | O20160817003095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740637735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Darla E Hoble Erlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861684144 PECOS PAC ID: 9234198193 Enrollment ID: I20041006000815 |
| Provider Name | Martin A. Lesser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972553535 PECOS PAC ID: 7214962489 Enrollment ID: I20050927001271 |
| Provider Name | Abraham Anthony Chamely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407806060 PECOS PAC ID: 2567488265 Enrollment ID: I20051021000497 |
| Provider Name | Carlos Ramon Azaret |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770530925 PECOS PAC ID: 5799798898 Enrollment ID: I20060712000290 |
| Provider Name | Howard S Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872375 PECOS PAC ID: 2567364771 Enrollment ID: I20100721000705 |
| Provider Name | Guillermo H Davila |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598727034 PECOS PAC ID: 2062538325 Enrollment ID: I20100924000231 |
| Provider Name | Anele R Manfredini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477710531 PECOS PAC ID: 9436343126 Enrollment ID: I20101026001384 |
| Provider Name | Mikhailia W Lake |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639344914 PECOS PAC ID: 8325296858 Enrollment ID: I20120907000182 |
| Provider Name | Monique L Manganelli Orr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659487536 PECOS PAC ID: 5890720833 Enrollment ID: I20150309000712 |
| Provider Name | Matthew C Farbman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124459086 PECOS PAC ID: 7719271873 Enrollment ID: I20160811002426 |
| Provider Name | Tiffannie S Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477811883 PECOS PAC ID: 4981822707 Enrollment ID: I20161004001811 |
| Provider Name | Jessica Burgers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407113475 PECOS PAC ID: 1850643719 Enrollment ID: I20181004001678 |
| Provider Name | Angelle Brebnor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013234590 PECOS PAC ID: 1254558935 Enrollment ID: I20190130000113 |
| Provider Name | Kritzia Alana Pineda Monroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679922520 PECOS PAC ID: 0547518292 Enrollment ID: I20191017002559 |
| Provider Name | Ronald Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629509591 PECOS PAC ID: 3779860770 Enrollment ID: I20201027001704 |
| Provider Name | Laura Alvarez Orduz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023541315 PECOS PAC ID: 3072939115 Enrollment ID: I20210817003793 |
| Provider Name | Rebekah T Adai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144572132 PECOS PAC ID: 9234424706 Enrollment ID: I20230406000415 |
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