Kevin D Lille (NPI# 1679588750, PAC ID# 4789575218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679588750 |
| PAC ID by PECOS | 4789575218 |
| Professional Enrollment ID | I20040323001239 |
| Full Name | Kevin D Lille |
| Organization Legal Name | WELLNESS BY PHYSICIANS INC |
| Address |
3380 Tamiami Trl Suite C Port Charlotte FL 33952-8156 |
| Phone Number | 2397686396 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688966260 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3380 Tamiami Trl, Suite C, Port Charlotte, FL 33952-8156 | 2397686396 | WELLNESS BY PHYSICIANS INC |
| 2905 Tamiami Trl, Punta Gorda, FL 33950-7272 | 9412052180 | SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC |
| 324 Cross St, Punta Gorda, FL 33950-4828 | 9412052180 | SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC |
| 324 Cross St, Suite 113, Punta Gorda, FL 33950-4828 | 9412052180 | SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC |
| Organization Legal Name | WELLNESS BY PHYSICIANS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Griffith | Physician Assistant | Wellness By Physicians Inc | 3380 Tamiami Trl, Suite C, Port Charlotte, FL 33952-8156 |
| Clodualdo Dean Gamez | Internal Medicine | Wellness By Physicians Inc | 773 Hwy 466, Lady Lake, FL 32159-6340 |
| Onsi N Derias | Physical Therapy | Wellness By Physicians Inc | 773 Hwy 466, Lady Lake, FL 32159-6340 |
| Samuel Mahrous | Physical Therapy | Wellness By Physicians Inc | 600 Lakeview Rd, Suite B, Clearwater, FL 33756-3355 |
| Wael A Labib | Physical Therapy | Wellness By Physicians Inc | 137 S Pebble Beach Blvd, Suite 204, Sun City Center, FL 33573-5708 |
| Jeremy Eric Hall | Physical Therapy | Wellness By Physicians Inc | 137 S Pebble Beach Blvd, Suite 204, Sun City Center, FL 33573-5708 |
| Jonathan David Szczesniak | Physical Therapy | Wellness By Physicians Inc | 137 S Pebble Beach Blvd, Suite 204, Sun City Center, FL 33573-5708 |
| Street Address |
3380 TAMIAMI TRL SUITE C |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-8156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Griffith | Physician Assistant | Wellness By Physicians Inc | 3380 Tamiami Trl, Suite C, Port Charlotte, FL 33952-8156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT CHARLOTTE + PHYSICIAN ASSISTANT |
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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.