Connie M Horne (NPI# 1679853345, PAC ID# 4981824026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679853345 |
| PAC ID by PECOS | 4981824026 |
| Professional Enrollment ID | I20141013001256 |
| Full Name | Connie M Horne |
| Organization Legal Name | LEGACY HEALTH MEDICAL GROUP, LLC |
| Address |
1 Kent Dr Largo FL 33774-1033 |
| Phone Number | 7276441540 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5193962173 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Kent Dr, Largo, FL 33774-1033 | 7276441540 | LEGACY HEALTH MEDICAL GROUP, LLC |
| Organization Legal Name | LEGACY HEALTH MEDICAL GROUP, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Nicole Russo | Nurse Practitioner | Legacy Health Medical Group, LLC | 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214 |
| Priyadarshini G Rao | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Sharon L Diamond | Nurse Practitioner | Legacy Health Medical Group, LLC | 3600 Oak Manor Ln, Largo, FL 33774-1212 |
| Cheryl Rae Blank | Nurse Practitioner | Legacy Health Medical Group, LLC | 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214 |
| Maryana Henson | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Collette Palmisano | Nurse Practitioner | Legacy Health Medical Group, LLC | 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214 |
| Sunil Pokharel | Internal Medicine | Legacy Health Medical Group, LLC | 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214 |
| Brent J Lataille | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Sunit Srivastava | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Danielle Caraballo | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Street Address |
1 KENT DR |
| City | LARGO |
| State | FL |
| Zip | 33774-1033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priyadarshini G Rao | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Maryana Henson | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Brent J Lataille | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Sunit Srivastava | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Danielle Caraballo | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Miranda A Giusti | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Napier | Osteopathic Manipulative Medicine | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Vicki G Pappageorge | Family Practice | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Eric C Rost | Radiation Oncology | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 | |
| John Hill West | Radiation Oncology | Tampa Bay Oncology Center, Inc | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 |
| Meian S Balntas | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | Largo Medical Ctr - Indian Rocks Campus, 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| Robyn M Ache | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| David S Mason | Colorectal Surgery (proctology) | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Karen Kritsky | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| Richard S Gordon | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Steven H Silverman | Vascular Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Find all physicians in zip 33774 | |||
| City | LARGO |
| Zip Code | 33774 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LARGO + 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.