PHYSICIAN PARTNERS NETWORK PA (NPI# 1386715480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386715480 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN PARTNERS NETWORK PA |
| Practice Address |
11373 Cortez Blvd Suite 304 Brooksville FL 34613-5414 |
| Practice Telephone | 3525978994 |
| Practice Fax Number | 3525978901 |
| Mailing Telephone | 3525978994 |
| Mailing Fax Number | 3525978901 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | HUSAM ABUZARAD (OWNER) |
| Authorized Official Telephone | 3525964657 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251473700 | 05 | |
| FL | RAILROAD MEDICARE | CD8188 | 01 |
| FL | BLUE CROSS | 40952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447290952 | Physician Partners Network Pa | General Practice | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2006-06-07 |
| Street Address |
11373 CORTEZ BLVD SUITE 304 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348064 | Steven Harding Moss | Orthopaedic Surgery | 11373 Cortez Blvd, Suite 301, Brooksville, FL 34613-5414 | 2005-07-07 |
| 1427547819 | Kevin Chao Hong | Student in an Organized Health Care Education/Training Program | 11373 Cortez Blvd, Brooksville, FL 34613-5414 | 2018-05-01 |
| 1255729638 | Pine Brook Pharmacy LLC | Pharmacy | 11373 Cortez Blvd, Suite 101, Brooksville, FL 34613-5414 | 2015-01-07 |
| 1265853402 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 405, Brooksville, FL 34613-5406 | 2013-12-13 |
| 1467873638 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2013-12-13 |
| 1639510829 | Ocala Oncology Center Pl | Internal Medicine | 11373 Cortez Blvd, Suite 200, Brooksville, FL 34613-5405 | 2013-07-16 |
| 1861735888 | Aaron Cleveland Denson | Internal Medicine | 11373 Cortez Blvd, Suite 200, Brooksville, FL 34613 | 2013-03-27 |
| 1326390501 | Access Health Care Physicians LLC | Clinic/Center | 11373 Cortez Blvd, 304, Brooksville, FL 34613-5414 | 2012-10-11 |
| 1790054872 | Florida Cancer Affiliates Pl | Radiology | 11373 Cortez Blvd, Suite 200, Brooksville, FL 34613-5414 | 2011-12-20 |
| 1215224126 | Oleg Gligich | Internal Medicine | 11373 Cortez Blvd, Suite 200, Brooksville, FL 34613 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| 1326390501 | Access Health Care Physicians LLC | Clinic/Center | 11373 Cortez Blvd, 304, Brooksville, FL 34613-5414 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| 1336454339 | West Florida Medical Associates, P. A | Clinic/Center | 4363 South Suncoast Blvd, Homosassa Springs, FL 34446 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on PHYSICIAN PARTNERS NETWORK PA.
| 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.