| Immediate Medcare And Family Doctors-manatee | |
|
3930 8th Ave W Bradenton FL 34205-1702 | |
| (941) 748-8069 | |
| (941) 748-6609 |
| Full Name | Immediate Medcare And Family Doctors-manatee |
|---|---|
| Speciality | Family Medicine |
| Location | 3930 8th Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Jeffrey Grove (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9418228777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Medcare And Family Doctors-manatee 3930 8th Ave W Bradenton FL 34205-1702 Ph: (941) 822-8777 | Immediate Medcare And Family Doctors-manatee 3930 8th Ave W Bradenton FL 34205-1702 Ph: (941) 748-8069 |
| NPI Number | 1225563935 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 5395016661 |
|---|---|
| Medicare Enrollment ID | O20170804000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225563935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0004817 (Florida) | Primary |
| Provider Name | Michelle R Dibetta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649531047 PECOS PAC ID: 7012227747 Enrollment ID: I20151110001484 |
| Provider Name | Kayla Jo Weiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409655 PECOS PAC ID: 3779850102 Enrollment ID: I20170606001613 |
| Provider Name | Pamela C Chapman |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1497173439 PECOS PAC ID: 8820369119 Enrollment ID: I20170804000806 |
| Provider Name | Sara Elizabeth Wemlinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295245 PECOS PAC ID: 3173870557 Enrollment ID: I20190624000057 |
| Provider Name | Abhishek Gulati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205284288 PECOS PAC ID: 0143550830 Enrollment ID: I20190923002849 |
| Provider Name | Steven R Ferreira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083062632 PECOS PAC ID: 8224460134 Enrollment ID: I20191114002159 |
| Provider Name | Erick V Mejia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811421357 PECOS PAC ID: 9739503442 Enrollment ID: I20200728000188 |
| Provider Name | Melissa C Beljan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241782 PECOS PAC ID: 3870996226 Enrollment ID: I20210723000222 |
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