MARINER PRIMECARE MEDICAL CENTER LLC (NPI# 1316192867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316192867 |
| Entity Type | Organization |
| Organization Name | MARINER PRIMECARE MEDICAL CENTER LLC |
| Practice Address |
7056 Mariner Blvd Spring Hill FL 34609-1000 |
| Practice Telephone | 3525975557 |
| Practice Fax Number | 3525970552 |
| Mailing Telephone | 3525975557 |
| Mailing Fax Number | 3525970552 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | MR. MARTIN REVELLO (PRESIDENT) |
| Authorized Official Telephone | 8135146750 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME83175 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
7056 MARINER BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912938 | Leo Brazeau | Physician Assistant | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2005-09-19 |
| 1750736948 | Saint Thomas Care Plus LLC | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2016-04-26 |
| 1205065059 | Saint Thomas Clinic Pllc | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2009-07-14 |
| 1518121334 | Hany Helmy Abskhroun | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2008-07-10 |
| 1861431447 | Jorge Tony Cisneros | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699274035 | Anali J Rincon | General Practice | 10441 Quality Dr Ste 100, Spring Hill, FL 34609-9649 | 2018-02-11 |
| 1619429495 | Caruso-doerr Inc. | General Practice | 5327 Commercial Way Ste B108, Spring Hill, FL 34606-1499 | 2016-10-27 |
| 1902208630 | Afc Physicians of Tennessee, PC | General Practice | 2070 Wall Street, Spring Hill, TN 37174-0000 | 2014-09-25 |
| 1427291517 | Mari Trini Castello | General Practice | 3588 Swordfish Ln, Spring Hill, FL 34609-3636 | 2009-04-20 |
| 1003003302 | Maria J. Prieto, M.d. P.a. | General Practice | 4327 Hedgewood Ave, Spring Hill, FL 34608-3307 | 2007-10-01 |
| 1730124165 | David John Deam | General Practice | 5423 Commercial Way, Spring Hill, FL 34606-1110 | 2006-06-19 |
| 1437111440 | David Mark Mcgrew | General Practice | 4644 Keysville Ave, Spring Hill, FL 34608-3515 | 2006-04-05 |
| 1568424836 | Howard M Glicksman | General Practice | 7154 Medical Center Drive, Spring Hill, FL 34608-1329 | 2006-04-04 |
| 1184260283 | Michael Rudelli | General Practice | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-11-23 |
| 1740849132 | Revive Medical & Rehab | General Practice | 7125 Mariner Blvd, Spring Hill, FL 34609-1048 | 2019-06-10 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
Please comment or provide details below to improve the information on MARINER PRIMECARE MEDICAL CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.