| Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc | |
|
5410 Maryland Way Ste 300 Brentwood TN 37027-5339 | |
| (615) 377-5658 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5410 Maryland Way Ste 300, Brentwood, Tennessee |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 |
| NPI Number | 1063058105 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 3870920861 |
|---|---|
| Medicare Enrollment ID | O20200304001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063058105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ibrahim Ahmed Abdalla Wafik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699722827 PECOS PAC ID: 9234029646 Enrollment ID: I20040318001137 |
| Provider Name | Stephanie Ann Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332765 PECOS PAC ID: 9032102769 Enrollment ID: I20070207000424 |
| Provider Name | Chidi U Uche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891828448 PECOS PAC ID: 4587756135 Enrollment ID: I20070827000936 |
| Provider Name | Theresa N Huyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760675599 PECOS PAC ID: 2466548227 Enrollment ID: I20071010000298 |
| Provider Name | Jacob Hyppolite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255302428 PECOS PAC ID: 2567421936 Enrollment ID: I20071208000027 |
| Provider Name | Saeid Behroozi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952415846 PECOS PAC ID: 2365415114 Enrollment ID: I20090504000528 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20090909000634 |
| Provider Name | Merlyn S Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130246 PECOS PAC ID: 3870631534 Enrollment ID: I20091117000691 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Walter B Frady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255361382 PECOS PAC ID: 7416089115 Enrollment ID: I20100715000677 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20100915000980 |
| Provider Name | Dean Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629270632 PECOS PAC ID: 3072601186 Enrollment ID: I20101129000987 |
| Provider Name | Margaret R Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891618 PECOS PAC ID: 2163605437 Enrollment ID: I20110323000826 |
| Provider Name | Alyson Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063246 PECOS PAC ID: 5698948529 Enrollment ID: I20111109000331 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20120120000555 |
| Provider Name | Omar Khashaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942467576 PECOS PAC ID: 5294996492 Enrollment ID: I20120416000463 |
| Provider Name | Khadidja Koraibaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451041 PECOS PAC ID: 0547268047 Enrollment ID: I20120717000307 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Mitaben N Hajirawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144588310 PECOS PAC ID: 4385896869 Enrollment ID: I20121207000221 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Elvys Sacerio Valcarcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467795252 PECOS PAC ID: 2668615485 Enrollment ID: I20130827000362 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065091 PECOS PAC ID: 8820279581 Enrollment ID: I20131219001254 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20141114001584 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20141119000697 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20161013000759 |
| Provider Name | Inelisse Otero-diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952735862 PECOS PAC ID: 1557640661 Enrollment ID: I20161114000564 |
| Provider Name | Padmaja Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699962639 PECOS PAC ID: 6103994330 Enrollment ID: I20161203000156 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Jessica Teich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821716 PECOS PAC ID: 5092092999 Enrollment ID: I20170502001520 |
| Provider Name | David E Sanchez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619285798 PECOS PAC ID: 5991930786 Enrollment ID: I20170504001473 |
| Provider Name | John Ray Blevins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649438730 PECOS PAC ID: 0244354173 Enrollment ID: I20170526001999 |
| Provider Name | John E David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073596235 PECOS PAC ID: 0840180717 Enrollment ID: I20170613000123 |
| Provider Name | David Maynoldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144591249 PECOS PAC ID: 6002136934 Enrollment ID: I20170621000707 |
| Provider Name | Abdalagani A Baher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740206937 PECOS PAC ID: 0042312571 Enrollment ID: I20170809001787 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20171017002332 |
| Provider Name | Benjamin Solomon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982611729 PECOS PAC ID: 1658361514 Enrollment ID: I20171208001549 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873400 PECOS PAC ID: 8123377728 Enrollment ID: I20180815000802 |
| Provider Name | Joshua Steven Elder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144615725 PECOS PAC ID: 1759695059 Enrollment ID: I20180912000937 |
| Provider Name | Suhair Aldewairey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932428281 PECOS PAC ID: 3577787613 Enrollment ID: I20181009001797 |
| Provider Name | Robert Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063825511 PECOS PAC ID: 6901177690 Enrollment ID: I20181220001007 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20190114001352 |
| Provider Name | Bahishta Yaqubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780061036 PECOS PAC ID: 7315283090 Enrollment ID: I20190117000738 |
| Provider Name | Daniyal Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962881896 PECOS PAC ID: 4688964307 Enrollment ID: I20190117001671 |
| Provider Name | Yatzmellie Lorraine Vega Bonet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417242868 PECOS PAC ID: 5193947992 Enrollment ID: I20190117001844 |
| Provider Name | Andrea Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346717881 PECOS PAC ID: 5597008664 Enrollment ID: I20190514001228 |
| Provider Name | Mohamad Hatahet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381140 PECOS PAC ID: 2365778131 Enrollment ID: I20190731003633 |
| Provider Name | James Tyler Rigney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096800 PECOS PAC ID: 2961738661 Enrollment ID: I20190801000845 |
| Provider Name | Alain Anthony Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821544230 PECOS PAC ID: 4082046123 Enrollment ID: I20191112001339 |
| Provider Name | Sabine Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831515659 PECOS PAC ID: 9830462159 Enrollment ID: I20191212001158 |
| Provider Name | Renee Bridges Morledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551664 PECOS PAC ID: 6204269780 Enrollment ID: I20191216000174 |
| Provider Name | Venkata Suresh Patthipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706631 PECOS PAC ID: 6800227430 Enrollment ID: I20200514000122 |
| Provider Name | Arun Varughese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114456985 PECOS PAC ID: 7810269032 Enrollment ID: I20200819002913 |
| Provider Name | Nwamaka Onyeozili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972023836 PECOS PAC ID: 2163796103 Enrollment ID: I20200908002565 |
| Provider Name | Amr Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336700558 PECOS PAC ID: 6800128695 Enrollment ID: I20220419002925 |
| Provider Name | Mahmoud Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023660198 PECOS PAC ID: 2264817295 Enrollment ID: I20220912002997 |
| Provider Name | Lu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962063206 PECOS PAC ID: 4486020518 Enrollment ID: I20221014001301 |
| Provider Name | Carol Soler Luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871159178 PECOS PAC ID: 5597131631 Enrollment ID: I20221014001598 |
Bill G. Sekulovski, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Eastpark Dr, Suite 102, Brentwood, TN 37027 Phone: 615-373-5700 | |
Monogram Health Professional Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-673-4455 | |
Vanguard Crewcare Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Maryland Way Ste 200, Brentwood, TN 37027 Phone: 615-577-4927 | |
Bluesky Housecalls, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Westpark Dr, Brentwood, TN 37027 Phone: 615-340-6840 Fax: 615-600-4804 | |
Brentwood Family Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 | |
Elite Physicians Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9005 Overlook Blvd, Brentwood, TN 37027 Phone: 615-873-2975 Fax: 615-873-2975 |