| Sunrise Medical Clinic | |
|
5778 5th Ave N Saint Petersburg FL 33710-7104 | |
| (727) 388-2625 | |
| (727) 828-9233 |
| Full Name | Sunrise Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5778 5th Ave N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Nilamben D Shah (PRESIDENT) |
| Authorized Official Contact | 7274170233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Clinic 5778 5th Ave N Saint Petersburg FL 33710-7104 Ph: (727) 388-2625 | Sunrise Medical Clinic 5778 5th Ave N Saint Petersburg FL 33710-7104 Ph: (727) 388-2625 |
| NPI Number | 1194177857 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5395028864 |
|---|---|
| Medicare Enrollment ID | O20170208000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194177857 | NPI | - | NPPES |
| 020378900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Nilamben Deval Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356306070 PECOS PAC ID: 4183697055 Enrollment ID: I20040818000622 |
| Provider Name | Krupa Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538750120 PECOS PAC ID: 1254738297 Enrollment ID: I20210917002784 |
| Provider Name | Usha Tejalkumar Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427853886 PECOS PAC ID: 4688197866 Enrollment ID: I20250328000264 |
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