Pablo R Banderas (NPI# 1609868835, PAC ID# 4183802911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609868835 |
| PAC ID by PECOS | 4183802911 |
| Professional Enrollment ID | I20110627000744 |
| Full Name | Pablo R Banderas |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
2227 Us Hwy 27 S Sebring FL 33870-4936 |
| Phone Number | 8632028100 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 126 Del Prado Blvd N, Cape Coral, FL 33909-2713 | MILLENNIUM PHYSICIAN GROUP LLC | |
| 13691 Metro Pkwy, Suite 330, Fort Myers, FL 33912-4322 | 2395618033 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13691 Metro Pkwy, Fort Myers, FL 33912-4348 | MILLENNIUM PHYSICIAN GROUP LLC | |
| 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2399361343 | MILLENNIUM PHYSICIAN GROUP LLC |
| 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 | 2396939191 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 | 8778563774 | MILLENNIUM PHYSICIAN GROUP LLC |
| 695 Tarpon Bay Rd, Unit 2, Sanibel, FL 33957-3135 | 2393124544 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2227 Us Hwy 27 S, Sebring, FL 33870-4936 | 8632028100 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1287 Us Hwy 41 Byp S, Venice, FL 34285-5545 | 9412020500 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
2227 US HWY 27 S |
| City | SEBRING |
| State | FL |
| Zip | 33870-4936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Torricelli | Internal Medicine | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Rick M Waks | Family Medicine | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Kaitlyn Marie Baker | Physician Assistant | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Arlene T Wright | Nurse Practitioner | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Debra T Black | Family Medicine | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Valerie Ruth Anne Dorn | Nurse Practitioner | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Bentia E Leavelle | Nurse Practitioner | Millennium Physician Group LLC | 2227 Us Hwy 27 S, Sebring, FL 33870-4936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Ashby | Psychiatry | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
| Ray H Tangunan | General Practice | 6801 Us Hwy 27 N B4, Sebring, FL 33870 | |
| Ernesto Pinzon | Nephrology | 2950 Alt Us Hwy 27 S, Suite A, Sebring, FL 33870 | |
| Michael Eric Sanders | Nurse Practitioner | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
| John Mcneal | Clinical Social Worker | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
| Mary Louise Hudson Ray | Nurse Practitioner | Mark A Ashby Md Pa | 2821 Alternate Us 27, Sebring, FL 33870 |
| Ronald V Fronda | Internal Medicine | Ernesto Pinzon Pa | 2950 Alt Us Hwy 27 S, Suite A, Sebring, FL 33870 |
| Dipakkumar M Upadhyaya | Obstetrics/gynecology | 6801 Us 27, Suite A 1, Sebring, FL 33870-1000 | |
| Anthony J Arciola | Urology | 6801 Us 27 N, C2, Sebring, FL 33870-1000 | |
| Bridglal Ramkissoon | Neurology | 6801 Us 27, Suite A3, Sebring, FL 33870-1000 | |
| Find all physicians in zip 33870 | |||
| City | SEBRING |
| Zip Code | 33870 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SEBRING + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Pablo R Banderas.
| 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.