| Kal Medical Llc | |
|
2144 Welbilt Blvd Trinity FL 34655-5186 | |
| (727) 859-4100 | |
| Not Available |
| Full Name | Kal Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2144 Welbilt Blvd, Trinity, Florida |
| Authorized Official Name and Position | Kavita Ann Thomas (MGR) |
| Authorized Official Contact | 3052973156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kal Medical Llc 334 E Lake Rd # 328 Palm Harbor FL 34685-2427 Ph: () - | Kal Medical Llc 2144 Welbilt Blvd Trinity FL 34655-5186 Ph: (727) 859-4100 |
| NPI Number | 1851108559 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Medicare PECOS PAC ID | 3375072283 |
|---|---|
| Medicare Enrollment ID | O20250122001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851108559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
| Provider Name | Manuel A Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023093671 PECOS PAC ID: 7810974284 Enrollment ID: I20040706000094 |
| Provider Name | Kavita A Thomas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861423337 PECOS PAC ID: 3779514690 Enrollment ID: I20050830000592 |
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