| Mondello Family Clinic Pa | |
|
1023 Sr 542 W Dundee FL 33838 | |
| (863) 438-9110 | |
| (863) 438-9095 |
| Full Name | Mondello Family Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1023 Sr 542 W, Dundee, Florida |
| Authorized Official Name and Position | Christopher Mondello (PHYSICIAN) |
| Authorized Official Contact | 8634389110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mondello Family Clinic Pa Po Box 552195 Tampa FL 33655-0001 Ph: (863) 438-9110 | Mondello Family Clinic Pa 1023 Sr 542 W Dundee FL 33838 Ph: (863) 438-9110 |
| NPI Number | 1700821121 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/08/2009 |
| Medicare PECOS PAC ID | 0042214520 |
|---|---|
| Medicare Enrollment ID | O20060914000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700821121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS0005695 (Florida) | Primary |
| Provider Name | Christopher G Mondello |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598761124 PECOS PAC ID: 9133102049 Enrollment ID: I20040611000056 |
| Provider Name | Donna Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053369553 PECOS PAC ID: 3971930439 Enrollment ID: I20200221000830 |
| Provider Name | Cathleen T Chicoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417499542 PECOS PAC ID: 5294162673 Enrollment ID: I20200225000100 |
Central Florida Health Care - Dundee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916 Dundee Rd, Dundee, FL 33838 Phone: 863-419-3330 Fax: 863-419-3249 | |
Primary Care Of Dundee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28279 Hwy 27, Dundee, FL 33838 Phone: 863-438-7920 Fax: 863-438-7919 | |
Central Florida Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Hwy 542, Dundee, FL 33838 Phone: 863-419-3330 | |
Dundee Medical Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28055 Highway 27 South, Dundee, FL 33838 Phone: 863-439-7377 Fax: 863-439-5452 | |
Central Florida Health Care - Dundee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Dundee Rd, Dundee, FL 33838 Phone: 863-419-3330 Fax: 863-419-8651 |