Andres Vidovich-ortiz (NPI# 1326273947, PAC ID# 5092867994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1326273947 |
| PAC ID by PECOS | 5092867994 |
| Professional Enrollment ID | I20140703002042 |
| Full Name | Andres Vidovich-ortiz |
| Organization Legal Name | LUTZ SURGICAL PARTNERS LLC |
| Address |
19105 Us 41 Suite 300 Lutz FL 33549 |
| Phone Number | 8137510247 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204927429 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100243 | BRANDON REGIONAL HOSPITAL |
| 100206 | MEMORIAL HOSPITAL OF TAMPA |
| 100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
| Address | Phone | Organization |
|---|---|---|
| 19105 Us 41, Suite 300, Lutz, FL 33549 | 8137510247 | LUTZ SURGICAL PARTNERS LLC |
| Organization Legal Name | LUTZ SURGICAL PARTNERS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nitin Babel | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Avani Patel | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Sean Douglas Bonner | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Santosh Potdar | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Koji Honda | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Jaunice S Cottone | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Mit N Desai | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Lutz, FL 33549 |
| Street Address |
19105 US 41 SUITE 300 |
| City | LUTZ |
| State | FL |
| Zip | 33549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nitin Babel | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Avani Patel | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Sean Douglas Bonner | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Santosh Potdar | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Koji Honda | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Jaunice S Cottone | Physician Assistant | Lutz Surgical Partners LLC | 19105 Us 41, Suite 300, Lutz, FL 33549 |
| Mit N Desai | General Surgery | Lutz Surgical Partners LLC | 19105 Us 41, Lutz, FL 33549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine K Kuba | Physical Therapy | Optimal Performance and Physical Therapies-lutz LLC | 21756 State Rd, Suite 102, Lutz, FL 33549-2905 |
| David M Herson | Interventional Pain Management | 21756 State Rd, 54 102a, Lutz, FL 33549-2905 | |
| Renea Marie Porsch | Physical Therapy | Optimal Performance and Physical Therapies-lutz LLC | 21756 State Rd, Suite 102, Lutz, FL 33549-2905 |
| William S Merrick | Physical Therapy | Optimal Performance and Physical Therapies-lutz LLC | 21756 State Rd, Suite 102, Lutz, FL 33549-2905 |
| Vanda Andel | Physical Therapy | Optimal Performance and Physical Therapies-lutz LLC | 21756 State Rd, Suite 102, Lutz, FL 33549-2905 |
| Allison N Zager | Physical Therapy | Optimal Performance and Physical Therapies-lutz LLC | 21756 State Rd, Suite 102, Lutz, FL 33549-2905 |
| Irene N. Wahba | Obstetrics/gynecology | Womans Group | 1908 Land O Lakes Blvd, Lutz, FL 33549-2914 |
| Eva M Crooke | Obstetrics/gynecology | Womans Group | 1908 Land O Lakes Blvd, Lutz, FL 33549-2914 |
| Pamela Twitty | Obstetrics/gynecology | Womans Group | 1908 Land O Lakes Blvd, Lutz, FL 33549-2914 |
| Stephanie T Trexler | Obstetrics/gynecology | Womans Group | 1908 Land O Lakes Blvd, Lutz, FL 33549-2914 |
| Find all physicians in zip 33549 | |||
| City | LUTZ |
| Zip Code | 33549 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LUTZ + GENERAL SURGERY |
Please comment or provide details below to improve the information on Andres Vidovich-ortiz.
| 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.