| Immediate Medcare And Family Doctors Of Bradenton | |
|
6150 State Road 70 E Bradenton FL 34203-9712 | |
| (941) 822-8777 | |
| Not Available |
| Full Name | Immediate Medcare And Family Doctors Of Bradenton |
|---|---|
| Speciality | Family Medicine |
| Location | 6150 State Road 70 E, Bradenton, Florida |
| Authorized Official Name and Position | Jeffrey S Grove (MEMBER) |
| Authorized Official Contact | 7275889572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Medcare And Family Doctors Of Bradenton 6150 State Road 70 E Bradenton FL 34203-9712 Ph: (941) 822-8777 | Immediate Medcare And Family Doctors Of Bradenton 6150 State Road 70 E Bradenton FL 34203-9712 Ph: (941) 822-8777 |
| NPI Number | 1497131692 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 5496065104 |
|---|---|
| Medicare Enrollment ID | O20151110000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497131692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eugene M Dibetta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467761064 PECOS PAC ID: 0345400198 Enrollment ID: I20120402000285 |
| Provider Name | Michelle R Dibetta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649531047 PECOS PAC ID: 7012227747 Enrollment ID: I20151110001484 |
| 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 | Melissa C Beljan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241782 PECOS PAC ID: 3870996226 Enrollment ID: I20210723000222 |
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