| United Care Team PLLC | |
|
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 | |
| (888) 402-0202 | |
| (888) 860-2960 |
| Full Name | United Care Team PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, Florida |
| Authorized Official Name and Position | Kimberly Miller (DIRECTOR OF RCM) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Care Team PLLC Po Box 5668 Carol Stream IL 60197-5668 Ph: (248) 607-0037 | United Care Team PLLC 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (888) 402-0202 |
| NPI Number | 1639859549 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 08/19/2026 |
| Certification Date | 08/19/2026 |
| Medicare PECOS PAC ID | 1951759687 |
|---|---|
| Medicare Enrollment ID | O20231118000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639859549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Lazaro Rafael Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780155366 PECOS PAC ID: 9133528813 Enrollment ID: I20210601000019 |
| Provider Name | Cordelia Okwuosah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578867966 PECOS PAC ID: 8820261381 Enrollment ID: I20230629002991 |
| Provider Name | Ayeza Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235264 PECOS PAC ID: 4385948942 Enrollment ID: I20240606004194 |
| Provider Name | Saad Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043754310 PECOS PAC ID: 8426339656 Enrollment ID: I20240702000144 |
| Provider Name | Syed Karim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497853634 PECOS PAC ID: 2567451966 Enrollment ID: I20241211000534 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20250321001404 |
| Provider Name | Syed Khalid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790006393 PECOS PAC ID: 5597902882 Enrollment ID: I20250321003519 |
| Provider Name | Viraj Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093938979 PECOS PAC ID: 8123110376 Enrollment ID: I20250516001097 |
| Provider Name | Danish Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760042386 PECOS PAC ID: 2365779436 Enrollment ID: I20250815003446 |
| Provider Name | John Ciccone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750378824 PECOS PAC ID: 8022048305 Enrollment ID: I20250918002383 |
| Provider Name | Mahammad Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407412083 PECOS PAC ID: 7012246911 Enrollment ID: I20251201003158 |
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