| Verimed Health Group Bradenton Llc | |
|
300 Riverside Dr E Suite 3900 Bradenton FL 34208-1008 | |
| (813) 415-5038 | |
| Not Available |
| Full Name | Verimed Health Group Bradenton Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Riverside Dr E, Bradenton, Florida |
| Authorized Official Name and Position | Rennee Calogero (ADMINISTRATOR) |
| Authorized Official Contact | 8138337226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Bradenton Llc 300 Riverside Dr. Suite 3900 Bradenton FL 34208 Ph: (813) 415-5038 | Verimed Health Group Bradenton Llc 300 Riverside Dr E Suite 3900 Bradenton FL 34208-1008 Ph: (813) 415-5038 |
| NPI Number | 1023422391 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 7911128053 |
|---|---|
| Medicare Enrollment ID | O20141015000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023422391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Arlenne J Ponce-mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609213925 PECOS PAC ID: 2062761679 Enrollment ID: I20180815001186 |
| Provider Name | Miguel A Prado Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811595002 PECOS PAC ID: 6103238308 Enrollment ID: I20201211001609 |
| Provider Name | Daniel Deprince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023080306 PECOS PAC ID: 8325035157 Enrollment ID: I20221212001148 |
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