| Nano Life Pl | |
|
1201 5th Ave N Ste 410 St Petersburg FL 33705-1433 | |
| (727) 580-3719 | |
| (941) 746-4111 |
| Full Name | Nano Life Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 5th Ave N Ste 410, St Petersburg, Florida |
| Authorized Official Name and Position | Cheryl Smith (OFFICE MANAGER) |
| Authorized Official Contact | 7278225410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nano Life Pl 1201 5th Ave N Ste 410 St Petersburg FL 33705-1433 Ph: (727) 580-3719 | Nano Life Pl 1201 5th Ave N Ste 410 St Petersburg FL 33705-1433 Ph: (727) 580-3719 |
| NPI Number | 1750741534 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 04/16/2018 |
| Medicare PECOS PAC ID | 2062702210 |
|---|---|
| Medicare Enrollment ID | O20160601000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750741534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Leonard Proietto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467404921 PECOS PAC ID: 0749240083 Enrollment ID: I20041012000995 |
| Provider Name | Andrew L Rutherford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568656940 PECOS PAC ID: 9133281769 Enrollment ID: I20081216000508 |
| Provider Name | David M. Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437303617 PECOS PAC ID: 7012055932 Enrollment ID: I20091113000521 |
| Provider Name | Debra G Angelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174852362 PECOS PAC ID: 6204971393 Enrollment ID: I20101109001425 |
| Provider Name | Theodore R Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427072248 PECOS PAC ID: 3971799420 Enrollment ID: I20101123000090 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Patrick S Weston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306813423 PECOS PAC ID: 5991807661 Enrollment ID: I20140114000570 |
| Provider Name | Simran Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023391208 PECOS PAC ID: 8426219734 Enrollment ID: I20160705000152 |
| Provider Name | Amar Talati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640039 PECOS PAC ID: 7012151608 Enrollment ID: I20160804000767 |
| Provider Name | Albert H Thurlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770930190 PECOS PAC ID: 6406180017 Enrollment ID: I20190701001565 |
| Provider Name | Lewen Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407612 PECOS PAC ID: 4688896624 Enrollment ID: I20200427001378 |
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