| Verimed Health Group Lakeland Llc | |
|
1417 Lakeland Hills Blvd Suite 204 Lakeland FL 33805-3200 | |
| (813) 415-5038 | |
| Not Available |
| Full Name | Verimed Health Group Lakeland Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1417 Lakeland Hills Blvd, Lakeland, Florida |
| Authorized Official Name and Position | Pamela Ruesch (ADMINISTRATOR) |
| Authorized Official Contact | 8134155038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Lakeland Llc 1417 Lakeland Hills Blvd Suite 204 Lakeland FL 33805-3200 Ph: (813) 415-5038 | Verimed Health Group Lakeland Llc 1417 Lakeland Hills Blvd Suite 204 Lakeland FL 33805-3200 Ph: (813) 415-5038 |
| NPI Number | 1013321793 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 6901026616 |
|---|---|
| Medicare Enrollment ID | O20141001000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013321793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nancy Nieves-cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407884174 PECOS PAC ID: 7517054893 Enrollment ID: I20150116001224 |
| Provider Name | Oleg Merges |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174031686 PECOS PAC ID: 5597004705 Enrollment ID: I20200203001466 |
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