Latia Holder Ilyadis (NPI# 1861658650, PAC ID# 2062678576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1861658650 |
PAC ID by PECOS | 2062678576 |
Professional Enrollment ID | I20131105001616 |
Full Name | Latia Holder Ilyadis |
Organization Legal Name | TREASURE COAST COMMUNITY HEALTH INC |
Address |
12196 County Rd Suite 512 Fellsmere FL 32948-5463 |
Phone Number | 7722578224 |
Gender | F |
Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
Graduation Year | 2005 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 4082625827 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 | 7722578224 | TREASURE COAST COMMUNITY HEALTH INC |
4675 28th Ct, Vero Beach, FL 32967-1329 | 7722578224 | TREASURE COAST COMMUNITY HEALTH INC |
Organization Legal Name | TREASURE COAST COMMUNITY HEALTH INC |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juliette A Valeriano | Family Medicine | Treasure Coast Community Health Inc | 1545 9th St Sw, Treasure Coast Community, Vero Beach, FL 32962-4312 |
Ruth Kim | Pediatric Medicine | Treasure Coast Community Health Inc | 1555 Us Hwy 1, Vero Beach, FL 32960-4727 |
Jane E Guiles | Clinical Social Worker | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Regina Therese Larkin | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Nancy Laureano | Physician Assistant | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Renee M Breitenbach | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Muhammad Mustershid Siddiqui | Internal Medicine | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Lisa N Wheeler | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Shahida Moizuddin | General Practice | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Tiffany M Lattany | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Street Address |
12196 COUNTY RD SUITE 512 |
City | FELLSMERE |
State | FL |
Zip | 32948-5463 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jane E Guiles | Clinical Social Worker | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Regina Therese Larkin | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Nancy Laureano | Physician Assistant | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Renee M Breitenbach | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Muhammad Mustershid Siddiqui | Internal Medicine | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Lisa N Wheeler | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Shahida Moizuddin | General Practice | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Tiffany M Lattany | Nurse Practitioner | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Joyce L Wagner | Physician Assistant | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Sandra K Wechsler | Pediatric Medicine | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Daphne L Tucker | Clinical Social Worker | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Susan L Pinsky | Family Medicine | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Mercedes Borromeo | Psychiatry | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Laurence Greenspoon | Family Medicine | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Anneliese Trull | Physician Assistant | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
Marlene Aking | Psychiatry | Treasure Coast Community Health Inc | 12196 County Rd, Suite 512, Fellsmere, FL 32948-5463 |
City | FELLSMERE |
Zip Code | 32948 |
Specialty | INTERNAL MEDICINE |
City + Specialty | FELLSMERE + INTERNAL MEDICINE |
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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.