| Home Physicians Group LLC | |
|
12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 | |
| (321) 235-0692 | |
| (321) 235-0694 |
| Full Name | Home Physicians Group LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 12301 Lake Underhill Rd Ste 215, Orlando, Florida |
| Authorized Official Name and Position | Gabriel Nuriel (CEO) |
| Authorized Official Contact | 3212350692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Physicians Group LLC 12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 Ph: (321) 235-0692 | Home Physicians Group LLC 12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 Ph: (321) 235-0692 |
| NPI Number | 1063224756 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Medicare PECOS PAC ID | 9739692328 |
|---|---|
| Medicare Enrollment ID | O20250627000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063224756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 208D00000X | General Practice | (NU) | Secondary |
| Provider Name | Gabriel Nuriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821168972 PECOS PAC ID: 3971562695 Enrollment ID: I20041007000608 |
| Provider Name | Melissa C Kirby |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184627374 PECOS PAC ID: 1850388638 Enrollment ID: I20041104000955 |
| Provider Name | Sarah Marie Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801337738 PECOS PAC ID: 2567749641 Enrollment ID: I20170426002791 |
| Provider Name | Edgar Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780823252 PECOS PAC ID: 5496809246 Enrollment ID: I20190524000269 |
| Provider Name | Alex J Vera Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780269753 PECOS PAC ID: 4880093780 Enrollment ID: I20210526001213 |
| Provider Name | Jaime Machado Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043892755 PECOS PAC ID: 7113321126 Enrollment ID: I20210812000287 |
| Provider Name | Andrea Jean Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316699580 PECOS PAC ID: 5991199671 Enrollment ID: I20220222002177 |
| Provider Name | Virginia Brathwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245811934 PECOS PAC ID: 3577948272 Enrollment ID: I20220916000089 |
| Provider Name | Stephanie Torres Boschetti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992457600 PECOS PAC ID: 5799130860 Enrollment ID: I20231010000279 |
| Provider Name | Derek Skop |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932848975 PECOS PAC ID: 4284016874 Enrollment ID: I20241017004212 |
| Provider Name | Amanda Maria Ramos Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699598664 PECOS PAC ID: 9739614223 Enrollment ID: I20241120002782 |
| Provider Name | Gardy Valentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740598457 PECOS PAC ID: 2062696842 Enrollment ID: I20250416003818 |
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