| Medway Medical Centers Llc | |
|
4802 Grand Blvd New Port Richey FL 34652-5106 | |
| (727) 877-8837 | |
| Not Available |
| Full Name | Medway Medical Centers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4802 Grand Blvd, New Port Richey, Florida |
| Authorized Official Name and Position | Francisco Acosta (OWNER) |
| Authorized Official Contact | 7862776701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medway Medical Centers Llc 4802 Grand Blvd New Port Richey FL 34652-5106 Ph: (727) 877-8837 | Medway Medical Centers Llc 4802 Grand Blvd New Port Richey FL 34652-5106 Ph: (727) 877-8837 |
| NPI Number | 1669063475 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 1850795154 |
|---|---|
| Medicare Enrollment ID | O20210809002993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669063475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vicente A Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598868903 PECOS PAC ID: 0547397887 Enrollment ID: I20100419000729 |
| Provider Name | Jose V Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528208691 PECOS PAC ID: 9638293384 Enrollment ID: I20100901000476 |
| Provider Name | Abelardo Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306380076 PECOS PAC ID: 1850703216 Enrollment ID: I20201209002144 |
| Provider Name | Gelys Gongora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674805 PECOS PAC ID: 0547336950 Enrollment ID: I20211025001778 |
House Call Telemed Fl Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Massachusetts Ave, New Port Richey, FL 34653 Phone: 727-848-2273 Fax: 727-849-6337 | |
Solace Behavioral Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Rowan Rd, New Port Richey, FL 34653 Phone: 727-483-5912 Fax: 727-376-3652 | |
Trinity Wellness Xiii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 Country Place Blvd, New Port Richey, FL 34655 Phone: 727-420-6986 | |
Rivers Edge Boutique Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5647 Main St Ste 1&2, New Port Richey, FL 34652 Phone: 727-831-8376 | |
Fl Medical Center Of New Port Richey Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4648 Grand Blvd, New Port Richey, FL 34652 Phone: 727-842-7397 Fax: 727-842-7790 | |
New Port Richey Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4772 Us Highway 19, New Port Richey, FL 34652 Phone: 727-722-8345 Fax: 727-722-8360 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 State Road 54, New Port Richey, FL 34655 Phone: 407-447-7120 |