Premier Med Pa | |
2906 17th St. St Cloud FL 34769 | |
(407) 543-6306 | |
Not Available |
Full Name | Premier Med Pa |
---|---|
Speciality | Hospitalist |
Location | 2906 17th St., St Cloud, Florida |
Authorized Official Name and Position | Jauvid Behram Ayadi (OWNER) |
Authorized Official Contact | 4073522542 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Med Pa 7512 Dr Phillips Blvd Ste 50-344 Orlando FL 32819-5420 Ph: (407) 543-6306 | Premier Med Pa 2906 17th St. St Cloud FL 34769 Ph: (407) 543-6306 |
NPI Number | 1053877506 |
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Provider Enumeration Date | 02/20/2019 |
Last Update Date | 10/18/2019 |
Medicare PECOS PAC ID | 1557603370 |
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Medicare Enrollment ID | O20190614000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053877506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Jauvid B Ayadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619041332 PECOS PAC ID: 1557310828 Enrollment ID: I20050114000126 |
Provider Name | Prakash P Kalan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699849232 PECOS PAC ID: 5092764365 Enrollment ID: I20050114000169 |
Provider Name | Matthew B Owen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902801863 PECOS PAC ID: 5193867125 Enrollment ID: I20100128000548 |
Provider Name | Noman Subhani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427060243 PECOS PAC ID: 7012052558 Enrollment ID: I20100312000415 |
Provider Name | Dennis Paray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013386069 PECOS PAC ID: 9032412309 Enrollment ID: I20160120000832 |
Provider Name | Alejandro Berlin Dela Cruz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770951519 PECOS PAC ID: 5890082440 Enrollment ID: I20160924000463 |
Provider Name | Tiny Francis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013416478 PECOS PAC ID: 6103188214 Enrollment ID: I20180329000014 |
Provider Name | Lalaine Dela Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427549799 PECOS PAC ID: 9537418256 Enrollment ID: I20180814000987 |
Provider Name | Ali Mohammad Ahangari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992190888 PECOS PAC ID: 7416208244 Enrollment ID: I20180918003015 |
Provider Name | Cora T Yoose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285065615 PECOS PAC ID: 9537485057 Enrollment ID: I20190516000802 |
Provider Name | Liana Caban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841850823 PECOS PAC ID: 4183871296 Enrollment ID: I20190819003299 |
Provider Name | Vahid Kazemi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093246845 PECOS PAC ID: 1951732023 Enrollment ID: I20200506001189 |
Provider Name | Carmen Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265064406 PECOS PAC ID: 2466872569 Enrollment ID: I20201012000227 |
Provider Name | Lilialis Collazo Yambo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851971691 PECOS PAC ID: 5193134476 Enrollment ID: I20210518000953 |
Provider Name | Brenalee Bagarra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730672643 PECOS PAC ID: 6204236458 Enrollment ID: I20210610000675 |
Provider Name | Megan Mohsin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376257105 PECOS PAC ID: 8527429869 Enrollment ID: I20230810004547 |
Provider Name | Caitlyn Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962284281 PECOS PAC ID: 7315397007 Enrollment ID: I20231220004071 |
Provider Name | Ramez Adel Massoud |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518594001 PECOS PAC ID: 2961846407 Enrollment ID: I20240222004106 |
Provider Name | Michael Delzoppo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831725787 PECOS PAC ID: 3971943911 Enrollment ID: I20240424003327 |
Central Florida Infectious Disease Consultants Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Budlinger Ave # A, St Cloud, FL 34769 Phone: 606-416-2476 Fax: 571-323-6777 | |
Universal Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Pennsylvania Ave, St Cloud, FL 34769 Phone: 407-892-3313 Fax: 407-892-4428 |