| Quality Physician Group PLLC | |
|
33049 Professional Dr Ste 103 Leesburg FL 34788-3705 | |
| (352) 353-6967 | |
| Not Available |
| Full Name | Quality Physician Group PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 33049 Professional Dr Ste 103, Leesburg, Florida |
| Authorized Official Name and Position | Sheyla Zelaya-aragon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3523536967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Physician Group PLLC 33049 Professional Dr Ste 103 Leesburg FL 34788-3705 Ph: (352) 446-4227 | Quality Physician Group PLLC 33049 Professional Dr Ste 103 Leesburg FL 34788-3705 Ph: (352) 353-6967 |
| NPI Number | 1164906871 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 7113263260 |
|---|---|
| Medicare Enrollment ID | O20190109003270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164906871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RN0300X | Internal Medicine - Nephrology | () | Secondary |
| Provider Name | Michael S Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841380623 PECOS PAC ID: 0547269045 Enrollment ID: I20061211000489 |
| Provider Name | Chris Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184062069 PECOS PAC ID: 9032350822 Enrollment ID: I20130719000585 |
| Provider Name | Ana Karovska Vuchidolov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518271436 PECOS PAC ID: 7214178425 Enrollment ID: I20130731000568 |
| Provider Name | Sheyla K Zelaya Aragon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518285139 PECOS PAC ID: 9133431075 Enrollment ID: I20150706002288 |
| Provider Name | Amber Giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790322873 PECOS PAC ID: 8426486275 Enrollment ID: I20200310002313 |
| Provider Name | Lajuana D Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316528003 PECOS PAC ID: 7618333634 Enrollment ID: I20230517003157 |
| Provider Name | Remelyn Falle Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194302281 PECOS PAC ID: 1658692611 Enrollment ID: I20230606003114 |
| Provider Name | Pamela Kay Striplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942258165 PECOS PAC ID: 6507858453 Enrollment ID: I20240822004728 |
| Provider Name | Cristina Pinion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962220822 PECOS PAC ID: 4880129733 Enrollment ID: I20241202001075 |
| Provider Name | Robert Arthur Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689486466 PECOS PAC ID: 6305376674 Enrollment ID: I20250217000845 |
| Provider Name | Katelin Marie Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659260420 PECOS PAC ID: 3476069790 Enrollment ID: I20250723000581 |
| Provider Name | Peter Anthony Vasallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740982487 PECOS PAC ID: 3779942214 Enrollment ID: I20260622000700 |
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