| Laurel Medical Group, Llc | |
|
1124 S Central Ave Laurel DE 19956-1418 | |
| (302) 875-7753 | |
| Not Available |
| Full Name | Laurel Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1124 S Central Ave, Laurel, Delaware |
| Authorized Official Name and Position | Antonio Pedro (CO-OWNER) |
| Authorized Official Contact | 3028757753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Medical Group, Llc 66 Rivers End Dr Seaford DE 19973-8011 Ph: (302) 628-3018 | Laurel Medical Group, Llc 1124 S Central Ave Laurel DE 19956-1418 Ph: (302) 875-7753 |
| NPI Number | 1477640696 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 1153386081 |
|---|---|
| Medicare Enrollment ID | O20041119000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477640696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C1-0005393 (Delaware) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | C1-0004999 (Delaware) | Secondary |
| Provider Name | Antonio A Pedro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922192434 PECOS PAC ID: 7618932542 Enrollment ID: I20041119000798 |
| Provider Name | Odilon Y Claravall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093800401 PECOS PAC ID: 8921186198 Enrollment ID: I20101108000627 |
Peninsula Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30668 Sussex Hwy, Laurel Family Medicine, Laurel, DE 19956 Phone: 302-875-6550 Fax: 302-875-6573 | |
Tidalhealth Physician Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30549 Sussex Hwy, Laurel, DE 19956 Phone: 302-297-2579 | |
Curtis A. Smith, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 S Central Ave, Laurel, DE 19956 Phone: 302-875-6800 Fax: 302-875-6803 | |
Joyce E. Stout, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E Front St Ste C, Laurel, DE 19956 Phone: 302-629-0586 |