| Vmd Primary Providers Central Florida PLLC | |
|
4501 13th St Saint Cloud FL 34769-6742 | |
| (407) 798-8800 | |
| Not Available |
| Full Name | Vmd Primary Providers Central Florida PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4501 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Rebecca Rager (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8449690686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmd Primary Providers Central Florida PLLC Po Box 360262 Pittsburgh PA 15251-6262 Ph: (346) 980-2701 | Vmd Primary Providers Central Florida PLLC 4501 13th St Saint Cloud FL 34769-6742 Ph: (407) 798-8800 |
| NPI Number | 1134738974 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 2860806197 |
|---|---|
| Medicare Enrollment ID | O20210128001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134738974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Hans Langschwager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215942610 PECOS PAC ID: 4385543776 Enrollment ID: I20040105000706 |
| Provider Name | Lynn M Harper-nimock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164458865 PECOS PAC ID: 5890682868 Enrollment ID: I20040303000833 |
| Provider Name | U Khin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093704116 PECOS PAC ID: 1557252509 Enrollment ID: I20040322000366 |
| Provider Name | Lynn Cosentino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225095326 PECOS PAC ID: 5597746750 Enrollment ID: I20040525001203 |
| Provider Name | Anthony W Nioso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912979055 PECOS PAC ID: 1254317639 Enrollment ID: I20040626000027 |
| Provider Name | Ambrosio J Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588635759 PECOS PAC ID: 4880668797 Enrollment ID: I20040825000445 |
| Provider Name | Kumaran K Mohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932258365 PECOS PAC ID: 5193790871 Enrollment ID: I20040826001057 |
| Provider Name | Michael Psikogios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316987571 PECOS PAC ID: 3072579572 Enrollment ID: I20041207000296 |
| Provider Name | Scarlette L Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942232863 PECOS PAC ID: 9032176706 Enrollment ID: I20041214000753 |
| Provider Name | Angeline Haygood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396776126 PECOS PAC ID: 8123085859 Enrollment ID: I20041214001222 |
| Provider Name | Patrick J Fullerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811039555 PECOS PAC ID: 2668371857 Enrollment ID: I20041231000020 |
| Provider Name | Ligia Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437145661 PECOS PAC ID: 6709836125 Enrollment ID: I20050124000947 |
| Provider Name | Cheri M Jrolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649368556 PECOS PAC ID: 8820040884 Enrollment ID: I20050217000646 |
| Provider Name | Gregory P Samano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205804226 PECOS PAC ID: 5294778072 Enrollment ID: I20050603000071 |
| Provider Name | Jennifer S Matthews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508834631 PECOS PAC ID: 2062437437 Enrollment ID: I20051014000180 |
| Provider Name | Felicia Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437197266 PECOS PAC ID: 9436130861 Enrollment ID: I20060110001045 |
| Provider Name | Cathy a Schan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427036318 PECOS PAC ID: 6608881834 Enrollment ID: I20060209000345 |
| Provider Name | Evelyn Lois Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053317628 PECOS PAC ID: 5991700874 Enrollment ID: I20060927000504 |
| Provider Name | Tammy N Thaggert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174534770 PECOS PAC ID: 9032119490 Enrollment ID: I20070109000115 |
| Provider Name | Ira B Azneer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750389045 PECOS PAC ID: 4486756038 Enrollment ID: I20070228000214 |
| Provider Name | Anne-marie C John Rose-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013024850 PECOS PAC ID: 0547257081 Enrollment ID: I20070405000036 |
| Provider Name | Mariel Gonzalez-mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194836825 PECOS PAC ID: 2769457555 Enrollment ID: I20070915000096 |
| Provider Name | Janelle Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770764516 PECOS PAC ID: 9638259591 Enrollment ID: I20080104000002 |
| Provider Name | Cynthia Dolores Hongamen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508882531 PECOS PAC ID: 2567537400 Enrollment ID: I20080812000633 |
| Provider Name | Michael H Yard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124241666 PECOS PAC ID: 8022056910 Enrollment ID: I20080916000566 |
| Provider Name | Sharine Wishart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548207335 PECOS PAC ID: 3274601752 Enrollment ID: I20081010000333 |
| Provider Name | Ada Lynnette Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699970400 PECOS PAC ID: 6901967058 Enrollment ID: I20081208000144 |
| Provider Name | Jamila Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033207337 PECOS PAC ID: 4688725997 Enrollment ID: I20090626000308 |
| Provider Name | Robert S Buckley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699774323 PECOS PAC ID: 4385788645 Enrollment ID: I20100224000593 |
| Provider Name | Juan C Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487855987 PECOS PAC ID: 3274693783 Enrollment ID: I20100310000209 |
| Provider Name | Jana Esden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184882334 PECOS PAC ID: 2860525490 Enrollment ID: I20100803001291 |
| Provider Name | Steven J Saul |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568560795 PECOS PAC ID: 9537351481 Enrollment ID: I20101011000185 |
| Provider Name | Shari a Burbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922165208 PECOS PAC ID: 3779550165 Enrollment ID: I20101116000494 |
| Provider Name | Orlando a Benitez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002033 PECOS PAC ID: 7719174986 Enrollment ID: I20101214000725 |
| Provider Name | Michael B White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154331742 PECOS PAC ID: 1658551213 Enrollment ID: I20110214000948 |
| Provider Name | Denise Jacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104136738 PECOS PAC ID: 4385829142 Enrollment ID: I20110421000484 |
| Provider Name | Sandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538277090 PECOS PAC ID: 1658456884 Enrollment ID: I20110505000829 |
| Provider Name | Maureen a Weinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699080044 PECOS PAC ID: 1052589348 Enrollment ID: I20110712000114 |
| Provider Name | Ninous Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518120641 PECOS PAC ID: 2365612983 Enrollment ID: I20110908001957 |
| Provider Name | Mohammad Shehadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639223688 PECOS PAC ID: 9638259039 Enrollment ID: I20111005000446 |
| Provider Name | Migdalis Matos Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679566277 PECOS PAC ID: 2264482017 Enrollment ID: I20120329000334 |
| Provider Name | Bridgette C Mcquaig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137540 PECOS PAC ID: 9537321484 Enrollment ID: I20120510000313 |
| Provider Name | Jesse Balseiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710203435 PECOS PAC ID: 2466616875 Enrollment ID: I20120615000225 |
| Provider Name | Miguel E Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750333480 PECOS PAC ID: 3375707417 Enrollment ID: I20120703000079 |
| Provider Name | Charles M Kayat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942556121 PECOS PAC ID: 3072760644 Enrollment ID: I20120904000745 |
| Provider Name | Michele T Roberts-perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194088666 PECOS PAC ID: 4284884610 Enrollment ID: I20121022000178 |
| Provider Name | Catherine Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526649 PECOS PAC ID: 6709030844 Enrollment ID: I20130125000314 |
| Provider Name | Muqeet Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538187117 PECOS PAC ID: 6204080930 Enrollment ID: I20130206000083 |
| Provider Name | Jerri Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962565192 PECOS PAC ID: 8921007121 Enrollment ID: I20130219000331 |
| Provider Name | Salma Rawof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467791798 PECOS PAC ID: 7113172792 Enrollment ID: I20130305000403 |
| Provider Name | Iryna I Chyshkevych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235317140 PECOS PAC ID: 6204020886 Enrollment ID: I20130604000040 |
| Provider Name | Ashanti Hendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218221 PECOS PAC ID: 0345474631 Enrollment ID: I20130927000120 |
| Provider Name | Crystal Dejesus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063775765 PECOS PAC ID: 6800020579 Enrollment ID: I20131011000943 |
| Provider Name | Edgar Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578662581 PECOS PAC ID: 1052374923 Enrollment ID: I20131018001473 |
| Provider Name | Michael Robert Magner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922194653 PECOS PAC ID: 9638310469 Enrollment ID: I20140206000805 |
| Provider Name | Nanako Broughton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386710184 PECOS PAC ID: 5799723771 Enrollment ID: I20140328001894 |
| Provider Name | Joseph James Starnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679816185 PECOS PAC ID: 7911125604 Enrollment ID: I20140821000753 |
| Provider Name | Carmen Ana Sierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811949415 PECOS PAC ID: 1951323492 Enrollment ID: I20140924001754 |
| Provider Name | Herve J Cenatus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467638940 PECOS PAC ID: 5092935817 Enrollment ID: I20140930000634 |
| Provider Name | Thomas a Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003998394 PECOS PAC ID: 6800865288 Enrollment ID: I20141106002365 |
| Provider Name | Marie H.S. Theodore Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659778538 PECOS PAC ID: 5092032144 Enrollment ID: I20150330000388 |
| Provider Name | Deborah Ann Triglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337769 PECOS PAC ID: 9830401231 Enrollment ID: I20150626001003 |
| Provider Name | Candice R Coleman-pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548640592 PECOS PAC ID: 0143534032 Enrollment ID: I20150805009372 |
| Provider Name | Sadiya a Farooqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710279591 PECOS PAC ID: 9436467941 Enrollment ID: I20151002001597 |
| Provider Name | Julie Ann Dillenbeck-juers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609271816 PECOS PAC ID: 3072821552 Enrollment ID: I20151012001300 |
| Provider Name | Edward Yohanna Salib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073867941 PECOS PAC ID: 9931418902 Enrollment ID: I20151014002987 |
| Provider Name | Alex Jose Seda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417157066 PECOS PAC ID: 4587758701 Enrollment ID: I20151111002176 |
| Provider Name | Nasser Mohammed Kazmouz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508882135 PECOS PAC ID: 7618970583 Enrollment ID: I20160120001287 |
| Provider Name | Annette Darlene Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063504207 PECOS PAC ID: 2860487667 Enrollment ID: I20160120002594 |
| Provider Name | Sreeja Nandakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740659440 PECOS PAC ID: 4789989419 Enrollment ID: I20160218000202 |
| Provider Name | Kelechi N Esoga |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477933984 PECOS PAC ID: 0446565428 Enrollment ID: I20160316001439 |
| Provider Name | Alfonso E Martinez Irizarry |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013192798 PECOS PAC ID: 5092884841 Enrollment ID: I20160627000275 |
| Provider Name | Roshan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750729240 PECOS PAC ID: 3577797166 Enrollment ID: I20160824001533 |
| Provider Name | Sascha Beaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689120867 PECOS PAC ID: 1951698398 Enrollment ID: I20160928001381 |
| Provider Name | Sarah Fatima Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225379407 PECOS PAC ID: 4587892336 Enrollment ID: I20161028001778 |
| Provider Name | Farheen F Parvez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457618126 PECOS PAC ID: 5395055164 Enrollment ID: I20170126000869 |
| Provider Name | Keisha Gordon-primus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093196537 PECOS PAC ID: 2961786884 Enrollment ID: I20170221001332 |
| Provider Name | Winsome a Osbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437515616 PECOS PAC ID: 0446527337 Enrollment ID: I20170524002417 |
| Provider Name | Charles E Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478649 PECOS PAC ID: 8224305743 Enrollment ID: I20170603000179 |
| Provider Name | Pauline J Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861936296 PECOS PAC ID: 4688943145 Enrollment ID: I20170627002073 |
| Provider Name | Monees Hussain Syed |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1790099257 PECOS PAC ID: 8022381565 Enrollment ID: I20170906001190 |
| Provider Name | Noleene Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659129 PECOS PAC ID: 1456618214 Enrollment ID: I20171202000358 |
| Provider Name | Olga Grajales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467431064 PECOS PAC ID: 0648538751 Enrollment ID: I20171219002159 |
| Provider Name | Rima Bakhda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750793444 PECOS PAC ID: 5092008383 Enrollment ID: I20180306001568 |
| Provider Name | Nickole a Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215432224 PECOS PAC ID: 5092079533 Enrollment ID: I20180508002407 |
| Provider Name | Jeanie Menendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558866939 PECOS PAC ID: 1557626389 Enrollment ID: I20180529002100 |
| Provider Name | Crystal L Rocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679002042 PECOS PAC ID: 3779848098 Enrollment ID: I20180607000478 |
| Provider Name | Dhayamy Hechavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598261497 PECOS PAC ID: 9931454105 Enrollment ID: I20180613000187 |
| Provider Name | Allison N Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942706585 PECOS PAC ID: 3678828241 Enrollment ID: I20180622000512 |
| Provider Name | Gabriela Belen Montes Aldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477930741 PECOS PAC ID: 7416204094 Enrollment ID: I20180727002593 |
| Provider Name | Olga Belder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225072515 PECOS PAC ID: 5991761215 Enrollment ID: I20180806001890 |
| Provider Name | Alexander Ziesemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669956215 PECOS PAC ID: 1456696772 Enrollment ID: I20181214000674 |
| Provider Name | Charmelene Joy Chanthabouasith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750751772 PECOS PAC ID: 6305181371 Enrollment ID: I20181219001396 |
| Provider Name | Alex Andujar Alejandro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679760680 PECOS PAC ID: 8628247301 Enrollment ID: I20190125001968 |
| Provider Name | Mohammed M Basha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043312150 PECOS PAC ID: 0244400448 Enrollment ID: I20190207001158 |
| Provider Name | Roberto Lucero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144607193 PECOS PAC ID: 0547508632 Enrollment ID: I20190215000270 |
| Provider Name | Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972875508 PECOS PAC ID: 6002067345 Enrollment ID: I20190222000822 |
| Provider Name | Giselle Lopez-rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659731982 PECOS PAC ID: 8820337496 Enrollment ID: I20190226000473 |
| Provider Name | Smeet Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558758987 PECOS PAC ID: 0941596118 Enrollment ID: I20190315000133 |
| Provider Name | Jennifer Azelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583158 PECOS PAC ID: 9931441755 Enrollment ID: I20190426001935 |
| Provider Name | Natasha T Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922572023 PECOS PAC ID: 4082956719 Enrollment ID: I20190430001271 |
| Provider Name | Joyce L Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962400481 PECOS PAC ID: 8628019874 Enrollment ID: I20190521001344 |
| Provider Name | Amy Lhote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013940691 PECOS PAC ID: 5193918167 Enrollment ID: I20190716002938 |
| Provider Name | Jennifer John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114375409 PECOS PAC ID: 5193016434 Enrollment ID: I20190731000677 |
| Provider Name | Theodora L Brandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102616 PECOS PAC ID: 6800124389 Enrollment ID: I20190821002988 |
| Provider Name | Debbie E Lefave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164508248 PECOS PAC ID: 3274794441 Enrollment ID: I20190911002708 |
| Provider Name | Melody Koback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952802043 PECOS PAC ID: 6901161926 Enrollment ID: I20190926001070 |
| Provider Name | Rachel Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184103095 PECOS PAC ID: 2668703455 Enrollment ID: I20191009000852 |
| Provider Name | Yordanska Brito Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487946422 PECOS PAC ID: 1153652565 Enrollment ID: I20191016003004 |
| Provider Name | Nicolle a Abelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235780537 PECOS PAC ID: 6103158753 Enrollment ID: I20191031000159 |
| Provider Name | Drew Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437632478 PECOS PAC ID: 4486087657 Enrollment ID: I20191202000234 |
| Provider Name | Danielle L Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437533973 PECOS PAC ID: 3971812173 Enrollment ID: I20191212002031 |
| Provider Name | Ina a Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942869094 PECOS PAC ID: 3577997212 Enrollment ID: I20200106000737 |
| Provider Name | Joanne E Bastille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093368656 PECOS PAC ID: 2668807348 Enrollment ID: I20200128000490 |
| Provider Name | Danielle K Gliosca |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1336590264 PECOS PAC ID: 4789010307 Enrollment ID: I20200131000944 |
| Provider Name | Adam Bastille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681398 PECOS PAC ID: 2264868306 Enrollment ID: I20200207001269 |
| Provider Name | Arpana Pillay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124307277 PECOS PAC ID: 7214365931 Enrollment ID: I20200311002378 |
| Provider Name | Ronald Brunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561238 PECOS PAC ID: 9739519547 Enrollment ID: I20200420000062 |
| Provider Name | Ryan C Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093889289 PECOS PAC ID: 5991800880 Enrollment ID: I20200423000713 |
| Provider Name | Evelyn I Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083791941 PECOS PAC ID: 4981631769 Enrollment ID: I20200609001395 |
| Provider Name | Grace Maria Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992359038 PECOS PAC ID: 9436571874 Enrollment ID: I20200612000722 |
| Provider Name | Sapna Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316327737 PECOS PAC ID: 8022361245 Enrollment ID: I20200618002157 |
| Provider Name | Rany Najeh Ahmad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594007 PECOS PAC ID: 6507289980 Enrollment ID: I20200701001775 |
| Provider Name | Yelenis Fuertes Yanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174059406 PECOS PAC ID: 6002151164 Enrollment ID: I20200709002192 |
| Provider Name | Marcell Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093349433 PECOS PAC ID: 4789008970 Enrollment ID: I20200721002634 |
| Provider Name | Kandi Mari Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275887531 PECOS PAC ID: 9537312798 Enrollment ID: I20200807001021 |
| Provider Name | Chandroutie Daisy Santoo-vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740389683 PECOS PAC ID: 0840616843 Enrollment ID: I20200821000455 |
| Provider Name | Williamson Jean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083278782 PECOS PAC ID: 1052738879 Enrollment ID: I20200825002615 |
| Provider Name | Weilin Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700234747 PECOS PAC ID: 3274957717 Enrollment ID: I20200929001686 |
| Provider Name | Gregory Avetisov |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679917280 PECOS PAC ID: 9335470400 Enrollment ID: I20201027000040 |
| Provider Name | Gladimar Santiago Cartagena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376844514 PECOS PAC ID: 6305081985 Enrollment ID: I20201104001962 |
| Provider Name | Mark Anthony Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962040212 PECOS PAC ID: 8123438702 Enrollment ID: I20201110002995 |
| Provider Name | Maria T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877580 PECOS PAC ID: 5597175034 Enrollment ID: I20201111002831 |
| Provider Name | Brent R Asplin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093782161 PECOS PAC ID: 9931184744 Enrollment ID: I20201208002512 |
| Provider Name | Jamie S Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245475441 PECOS PAC ID: 6103009972 Enrollment ID: I20210416000599 |
| Provider Name | Rasha R Rashan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285269001 PECOS PAC ID: 5890104756 Enrollment ID: I20210505000183 |
| Provider Name | Cobra Ann Chamblee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366461741 PECOS PAC ID: 9234144114 Enrollment ID: I20210524001039 |
| Provider Name | Manuel Enrique Lugo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356674808 PECOS PAC ID: 4183023567 Enrollment ID: I20210604002758 |
| Provider Name | Khamwatie Esther Sahadeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667108 PECOS PAC ID: 4789084393 Enrollment ID: I20210617002143 |
| Provider Name | Mary Jaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892064 PECOS PAC ID: 1355678541 Enrollment ID: I20210722000950 |
| Provider Name | Jennifer C Dasque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881183168 PECOS PAC ID: 6709289580 Enrollment ID: I20210730003140 |
| Provider Name | Debra D Beachy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417236662 PECOS PAC ID: 5193720597 Enrollment ID: I20210804001050 |
| Provider Name | Sidra Asrar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508353962 PECOS PAC ID: 1254668247 Enrollment ID: I20210916001363 |
| Provider Name | Milena Munoz Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003313214 PECOS PAC ID: 5698010676 Enrollment ID: I20210922002959 |
| Provider Name | Cat M Huss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710485511 PECOS PAC ID: 9830528959 Enrollment ID: I20210923003122 |
| Provider Name | Deirdre W Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609945179 PECOS PAC ID: 1254435423 Enrollment ID: I20210930002349 |
| Provider Name | Cynthia M Banuchi-rios |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124234034 PECOS PAC ID: 6709043482 Enrollment ID: I20211103002875 |
| Provider Name | Leah V Buck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982186573 PECOS PAC ID: 6305190273 Enrollment ID: I20211109003423 |
| Provider Name | Delores Calmese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477708816 PECOS PAC ID: 1456513688 Enrollment ID: I20220104001125 |
| Provider Name | Pamela Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619514650 PECOS PAC ID: 9234520131 Enrollment ID: I20220104001520 |
| Provider Name | Obie Ramsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952504789 PECOS PAC ID: 6608905658 Enrollment ID: I20220120001882 |
| Provider Name | Christine Marie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508307364 PECOS PAC ID: 0042564353 Enrollment ID: I20220203000994 |
| Provider Name | April Stidham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245285907 PECOS PAC ID: 1850315896 Enrollment ID: I20220205000178 |
| Provider Name | Tithi Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124266366 PECOS PAC ID: 0446401350 Enrollment ID: I20220214000636 |
| Provider Name | Yee Leng Ong Lilienthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417477274 PECOS PAC ID: 8628342995 Enrollment ID: I20220301001442 |
| Provider Name | Kevin Kyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629077342 PECOS PAC ID: 9638122161 Enrollment ID: I20220308001059 |
| Provider Name | Barbarann Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780055541 PECOS PAC ID: 9739575424 Enrollment ID: I20220405003087 |
| Provider Name | Veronica Angulo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871848671 PECOS PAC ID: 6103145990 Enrollment ID: I20220406001821 |
| Provider Name | Amelia Susanne Ottesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972733889 PECOS PAC ID: 4880749894 Enrollment ID: I20220527001073 |
| Provider Name | Deepa Aparanji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861701765 PECOS PAC ID: 9234378068 Enrollment ID: I20220621002020 |
| Provider Name | Hagop Sarkissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982683421 PECOS PAC ID: 1850386400 Enrollment ID: I20220624001128 |
| Provider Name | Socheatra P Bokach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851622773 PECOS PAC ID: 4688892813 Enrollment ID: I20220704000245 |
| Provider Name | Usha George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043316946 PECOS PAC ID: 4880869973 Enrollment ID: I20220706001453 |
| Provider Name | Brian T Leo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508351743 PECOS PAC ID: 7012344930 Enrollment ID: I20220706001751 |
| Provider Name | Cassandra Jo Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649715228 PECOS PAC ID: 6800179748 Enrollment ID: I20220714002509 |
| Provider Name | Amanda Claire Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173205 PECOS PAC ID: 5092097089 Enrollment ID: I20220902001341 |
| Provider Name | Oneida L Wands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225347313 PECOS PAC ID: 4880007483 Enrollment ID: I20220909000310 |
| Provider Name | Gary Alan Frumkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376587626 PECOS PAC ID: 5193765204 Enrollment ID: I20221006000919 |
| Provider Name | Farzana Rashid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528654696 PECOS PAC ID: 3870907827 Enrollment ID: I20230104003140 |
| Provider Name | Yodaisy Rodriguez Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144753393 PECOS PAC ID: 0749608677 Enrollment ID: I20230731001257 |
Jbm Health Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4898 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771 Phone: 863-512-4385 |
Neptune Chiropractic and Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4273 Neptune Rd, Saint Cloud, FL 34769 Phone: 248-701-5781 |
Adl Care Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 900-000-0000 |
Premier Endocrinology PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3004 17th St, Saint Cloud, FL 34769 Phone: 407-593-2910 Fax: 407-593-2913 |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Budinger Ave Ste 108, Saint Cloud, FL 34769 Phone: 407-892-3387 |
Trusted to Care Medical & Wellness Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2021 13th St, Saint Cloud, FL 34769 Phone: 787-948-0768 |