Benjamin R Devries (NPI# 1164738159, PAC ID# 0244470235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1164738159 |
| PAC ID by PECOS | 0244470235 |
| Professional Enrollment ID | I20130716000546 |
| Full Name | Benjamin R Devries |
| Organization Legal Name | LARGO PHYSICIAN GROUP LLC |
| Address |
1559 Indian Rocks S Rd Largo FL 33770-4542 |
| Phone Number | 7275879044 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3678647039 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13540 Walshingham Rd, Suite D, Largo, FL 33774-3546 | 7275935492 | LARGO PHYSICIAN GROUP LLC |
| 1559 Indian Rocks S Rd, Largo, FL 33770-4542 | 7275879044 | LARGO PHYSICIAN GROUP LLC |
| Organization Legal Name | LARGO PHYSICIAN GROUP LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Miller | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| David O Esguerra | Dermatology | Largo Physician Group LLC | 13540 Walsingham Rd, Suite D, Largo, FL 33774-3546 |
| David W Dorton | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Eric Sladek | Internal Medicine | Largo Physician Group LLC | 11373 Cortez Blvd, Suite 408, Brooksville, FL 34613-5406 |
| Jennifer S Broyles | Family Medicine | Largo Physician Group LLC | 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1653 |
| Sara Bibi | Internal Medicine | Largo Physician Group LLC | 11373 Cortez Blvd, Suite 408, Brooksville, FL 34613-5406 |
| Kristin J Witfill | Dermatology | Largo Physician Group LLC | 7655 38th Ave N, Suite 202, St Petersburg, FL 33710-1263 |
| Yvonne Jeanette Braver | Internal Medicine | Largo Physician Group LLC | 511 W Alexander St, 2 Brandon Internal Medicine, Plant City, FL 33563-7116 |
| Summer D Moon | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Christina E Stamoolis | Family Medicine | Largo Physician Group LLC | 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1653 |
| Street Address |
1559 INDIAN ROCKS S RD |
| City | LARGO |
| State | FL |
| Zip | 33770-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Miller | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| David W Dorton | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Summer D Moon | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Altamash Iftikhar | Family Medicine | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Krina Chavda | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Risa B Ross | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Danny Abbruzzese | Internal Medicine | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| William F Murphy | Family Practice | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Knowlton | Nurse Practitioner | 493 Bluff View Dr, Belleair Bluffs, FL 33770-1308 | |
| Stephen J Steller | Chiropractic | Steller Life Care, Inc. | 515 Missouri Ave, Largo, FL 33770-1534 |
| William G Grenelle | Chiropractic | Steller Life Care, Inc. | 515 Missouri Ave, Largo, FL 33770-1534 |
| Bethany L Berghoffer | Physician Assistant | Edward G Mackay, Md and Associates, LLC | 2051 W Bay Dr, Largo, FL 33770-1924 |
| Solmari Gonzalez Rivera | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Kimberly Horton-bender | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Marissa Lyn Hols | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Caitlin A Schmitt | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Sylvia L Ruetz | Physical Therapy | 760 Indian Rocks Rd N, Belleair Bluffs, FL 33770-2020 | |
| Robert A Fady | Chiropractic | 490 N Indian Rocks Rd, Suite B, Belleair Bluffs, FL 33770-2085 | |
| Find all physicians in zip 33770 | |||
| City | LARGO |
| Zip Code | 33770 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LARGO + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.