Alfredo A Pegoraro (NPI# 1487641932, PAC ID# 3678572203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1487641932 |
| PAC ID by PECOS | 3678572203 |
| Professional Enrollment ID | I20090427000133 |
| Full Name | Alfredo A Pegoraro |
| Organization Legal Name | FLORIDA KIDNEY AND HYPERTENSION SPECIALISTS PA |
| Address |
2877 Wellness Ave Orange City FL 32763-8396 |
| Phone Number | 3866684650 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 2860558673 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2877 Wellness Ave, Orange City, FL 32763-8396 | 3866684650 | FLORIDA KIDNEY AND HYPERTENSION SPECIALISTS PA |
| Organization Legal Name | FLORIDA KIDNEY AND HYPERTENSION SPECIALISTS PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohan K Desai | Nephrology | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Erin Betzner-potkul | Nurse Practitioner | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Aya Yamazaki | Physician Assistant | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Harjasrai Moorjani | Nephrology | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Street Address |
2877 WELLNESS AVE |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-8396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohan K Desai | Nephrology | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Erin Betzner-potkul | Nurse Practitioner | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Aya Yamazaki | Physician Assistant | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Harjasrai Moorjani | Nephrology | Florida Kidney and Hypertension Specialists Pa | 2877 Wellness Ave, Orange City, FL 32763-8396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Simpson Sullenberger | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ORANGE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Alfredo A Pegoraro.
| 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.