Stephen Joseph Signore (NPI# 1790737609, PAC ID# 5294761516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790737609 |
| PAC ID by PECOS | 5294761516 |
| Professional Enrollment ID | I20050708000600 |
| Full Name | Stephen Joseph Signore |
| Organization Legal Name | MID FLORIDA PRIMARY CARE PA |
| Address |
401 N Boulevard W Leesburg FL 34748-5044 |
| Phone Number | 3527284242 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416049044 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 401 N Boulevard W, Leesburg, FL 34748-5044 | 3527284242 | MID FLORIDA PRIMARY CARE PA |
| 501 N Blvd W, Leesburg, FL 34748-5044 | 3524600922 | MID FLORIDA PRIMARY CARE PA |
| Organization Legal Name | MID FLORIDA PRIMARY CARE PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yun Mi Sung | Nurse Practitioner | Mid Florida Primary Care Pa | 17809 Se 109th Ave, Summerfield, FL 34491-8912 |
| Ravi Gupta | Internal Medicine | Mid Florida Primary Care Pa | 401 N Boulevard W, Leesburg, FL 34748-5044 |
| Amanda Melanie Metzger | Physician Assistant | Mid Florida Primary Care Pa | 17809 Se 109th Ave, Summerfield, FL 34491-8912 |
| Louis Bernadin Bois | Internal Medicine | Mid Florida Primary Care Pa | 17809 Se 109th Ave, Summerfield, FL 34491-8912 |
| Deanna Lynn Koenen | Nurse Practitioner | Mid Florida Primary Care Pa | 17809 Se 109th Ave, Summerfield, FL 34491-8912 |
| Street Address |
401 N BOULEVARD W |
| City | LEESBURG |
| State | FL |
| Zip | 34748-5044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi Gupta | Internal Medicine | Mid Florida Primary Care Pa | 401 N Boulevard W, Leesburg, FL 34748-5044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miratiqullah Hessami | Internal Medicine | E Dixie Ave, Leesburg, FL 34748 | |
| Mohammad A Choudhry | Neurology | 26218 Us Hwy 27 105, Leesburg, FL 34748-1708 | |
| Wayne Hu | Physical Medicine and Rehabilitation | Lakeview Healthcare System, LLC | 1801 Us Hwy 441, Bldg 100, Leesburg, FL 34748-2545 |
| Anette V Nieves | Neurology | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | |
| Nageley J Michel | Nurse Practitioner | Lifestream Behavioral Center Inc | 2020 Talley Rd, Leesburg, FL 34748-3426 |
| David A Dada | Psychiatry | Lifestream Behavioral Center Inc | 2018 Talley Rd, Leesburg, FL 34748-3426 |
| Barbara Gurgen | Nurse Practitioner | Lifestream Behavioral Center Inc | 2020 Talley Rd, Leesburg, FL 34748-3426 |
| Praxides Mbakaya-chen | Nurse Practitioner | Lifestream Behavioral Center Inc | 2020 Talley Rd, Leesburg, FL 34748-3426 |
| Miguel A Correa | Psychiatry | Lifestream Behavioral Center Inc | 2018 Talley Rd, Leesburg, FL 34748-3426 |
| Margaret Yearwood | Physician Assistant | Lifestream Behavioral Center Inc | 2018 Talley Rd, Leesburg, FL 34748-3426 |
| Find all physicians in zip 34748 | |||
| City | LEESBURG |
| Zip Code | 34748 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LEESBURG + 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.