| Primary Medical Clinic | |
|
3427 Brook Crossing Dr Brandon FL 33511-8181 | |
| (813) 654-5331 | |
| (813) 654-5336 |
| Full Name | Primary Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3427 Brook Crossing Dr, Brandon, Florida |
| Authorized Official Name and Position | Anita Patel (PRESIDENT) |
| Authorized Official Contact | 8136545331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Clinic 3427 Brook Crossing Dr Brandon FL 33511-8181 Ph: (813) 654-5331 | Primary Medical Clinic 3427 Brook Crossing Dr Brandon FL 33511-8181 Ph: (813) 654-5331 |
| NPI Number | 1447514716 |
|---|---|
| Provider Enumeration Date | 07/01/2012 |
| Last Update Date | 09/24/2016 |
| Medicare PECOS PAC ID | 5294986261 |
|---|---|
| Medicare Enrollment ID | O20121126000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447514716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME102540 (Florida) | Primary |
| Provider Name | Anita R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437269750 PECOS PAC ID: 5991703597 Enrollment ID: I20090320000465 |
| Provider Name | Anitta Janosh Purackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326545047 PECOS PAC ID: 0840532057 Enrollment ID: I20190508000965 |
| Provider Name | Anitta Kandarappallil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154061380 PECOS PAC ID: 0648636498 Enrollment ID: I20230519002188 |
| Provider Name | Teagan Elise Kistler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407685241 PECOS PAC ID: 7810419397 Enrollment ID: I20250314000277 |
Verimed Health Group Brandon, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Vonderburg Dr Ste 310, Brandon, FL 33511 Phone: 813-324-9463 Fax: 813-502-6385 |
Medi Brandon LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-654-1110 |
Learning to Achieve Wellness Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 W Robertson St, Brandon, FL 33511 Phone: 813-999-1516 Fax: 813-336-8384 |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 |
Florida Medical Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 |