Justin Ross Wasserman Md Pl | |
409 Serano Way Unit 101 Nokomis FL 34275-5241 | |
(941) 484-8222 | |
(941) 486-3016 |
Full Name | Justin Ross Wasserman Md Pl |
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Speciality | Clinic/Center |
Location | 409 Serano Way Unit 101, Nokomis, Florida |
Authorized Official Name and Position | Justin Ross Wasserman (PRESIDENT) |
Authorized Official Contact | 9414848222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Justin Ross Wasserman Md Pl 409 Serano Way Unit 101 Nokomis FL 34275-5241 Ph: (941) 484-8222 | Justin Ross Wasserman Md Pl 409 Serano Way Unit 101 Nokomis FL 34275-5241 Ph: (941) 484-8222 |
NPI Number | 1891098612 |
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Provider Enumeration Date | 12/16/2010 |
Last Update Date | 06/03/2025 |
Medicare PECOS PAC ID | 3779772579 |
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Medicare Enrollment ID | O20110110000699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891098612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | ME106806 (Florida) | Primary |
Provider Name | Justin R Wasserman |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1043453970 PECOS PAC ID: 6800940727 Enrollment ID: I20110202000579 |
Provider Name | Penelope Kallis Skopis |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1952806531 PECOS PAC ID: 1951733120 Enrollment ID: I20230806000000 |
West Coast Wellness And Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2512 Tamiami Trl N, Nokomis, FL 34275 Phone: 941-966-2342 Fax: 941-966-5864 | |
Easter Seals Southwest Florida, Nokomis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1629 Ranch Rd, Nokomis, FL 34275 Phone: 941-355-7637 | |
Vmd Primary Providers Central Florida Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Tamiami Trl N, Nokomis, FL 34275 Phone: 407-798-8800 Fax: 813-336-8321 | |
Wellness U, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2462 Laurel Rd E Unit 544, Nokomis, FL 34275 Phone: 423-240-8288 |