Brooke Eileen Guthart (NPI# 1063927580, PAC ID# 1759640212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063927580 |
| PAC ID by PECOS | 1759640212 |
| Professional Enrollment ID | I20180109002465 |
| Full Name | Brooke Eileen Guthart |
| Organization Legal Name | FLORIDA WOUND CARE INC |
| Address |
10335 Cross Creek Blvd Suite 20 Tampa FL 33647-2764 |
| Phone Number | 8133886838 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072669613 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2331 4th St N, St Petersburg, FL 33704-2801 | 7279148566 | BAYCARE URGENT CARE, LLC. |
| 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 | 8133886838 | FLORIDA WOUND CARE INC |
| 2016 Sr 60, Valrico, FL 33594-3605 | 8135025666 | BAYCARE URGENT CARE, LLC. |
| Organization Legal Name | FLORIDA WOUND CARE INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dema Adnan Abdelmajid | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Sayyed T Hussain | Internal Medicine | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Frances Ruth Vitalis | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Melissa S Dubois | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Jonathan Andrew Clark | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Street Address |
10335 CROSS CREEK BLVD SUITE 20 |
| City | TAMPA |
| State | FL |
| Zip | 33647-2764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendrick Eugene Duldulao | Physical Medicine and Rehabilitation | Simon Groseclose Dc LLC | 10335 Cross Creek Blvd, Suite 9, Tampa, FL 33647-2794 |
| Dema Adnan Abdelmajid | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Simon Groseclose | Chiropractic | Simon Groseclose Dc LLC | 10335 Cross Creek Blvd, Suite 9, Tampa, FL 33647-2794 |
| Sayyed T Hussain | Internal Medicine | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Frances Ruth Vitalis | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Melissa S Dubois | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Jonathan Andrew Clark | Nurse Practitioner | Florida Wound Care Inc | 10335 Cross Creek Blvd, Suite 20, Tampa, FL 33647-2764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaison Joseph Luke | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Kristi D Lewis | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Ted J Cardoso | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 6206 Emmons Ln, Tampa, FL 33647-1148 |
| Robert H Vanfleet | Diagnostic Radiology | Alvarado Radiology Group Inc A Professional Corporation | 7214 Wareham Dr, Tampa, FL 33647-1166 |
| Jordan M Axe | Chiropractic | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Beth Bray | Nurse Practitioner | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Janel Mayer | Nurse Practitioner | Root Cause Medical Clinic LLC | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Derek D Stewart Jr. | Chiropractic | Root Cause Clinic, Incorporated | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Salma Z Pothiawala | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Kimberly B Siders | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Find all physicians in zip 33647 | |||
| City | TAMPA |
| Zip Code | 33647 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAMPA + NURSE PRACTITIONER |
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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.