Jere Joseph Mammino (NPI# 1336259886, PAC ID# 5395753420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1336259886 |
| PAC ID by PECOS | 5395753420 |
| Professional Enrollment ID | I20100505000366 |
| Full Name | Jere Joseph Mammino |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Address |
106 Boston Ave Suite 105 Altamonte Springs FL 32701-4711 |
| Phone Number | 4078349091 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4688579311 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 | 4078349091 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| 2868 S Alafaya Trl, Suite 130, Orlando, FL 32828-7974 | 4077700063 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| 1410 W Broadway St, Suite 205, Oviedo, FL 32765-6472 | 4073592100 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etan Ariel Marks | Pathology | Leavitt Medical Associates of Florida Inc | 1300 Nw 17th Ave, Suite 130, Delray Beach, FL 33445-2588 |
| Matthew Hendricks | Physician Assistant | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Caitlin Fredericka | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 2005 W Reynolds St, Plant City, FL 33563-4743 |
| Danielle Elizabeth Marino | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 12525 Philips Hwy, Suite 101, Jacksonville, FL 32256-3740 |
| Savina Aneja | Dermatology | Leavitt Medical Associates of Florida Inc | 400 W Fairbanks Ave, Winter Park, FL 32789-5084 |
| Valerie A Yantsos Ray | Pathology | Leavitt Medical Associates of Florida Inc | 14521 University Point Pl, Tampa, FL 33613-5424 |
| Stephen W Eubanks | Dermatology | Leavitt Medical Associates of Florida Inc | 1720 Dunlawton Ave, Suite 2, Port Orange, FL 32127-2916 |
| Ivette M. Sosa Seda | Dermatology | Leavitt Medical Associates of Florida Inc | 4100 Southpoint Dr E, Suite 1, Jacksonville, FL 32216-8710 |
| Mark M Fogg | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 11021 Spring Hill Dr, Spring Hill, FL 34608-5049 |
| Street Address |
106 BOSTON AVE SUITE 105 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip | 32701-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carly L Tanner | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Tony Nelson | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Mahendra B Shah | Psychiatry | 106 Boston Ave, Suite 207, Altamonte Springs, FL 32701-4712 | |
| Vincent E Polich | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Wiljon W Beltre | General Surgery | 106 Boston Ave, Suite 206, Altamonte Springs, FL 32701-4712 | |
| David Michael Fitzmaurice | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Eric Royce Michaelis-woodard | Physician Assistant | Associates In Dermatology, Inc | 106 Boston Ave, Suite 100, Altamonte Springs, FL 32701-4712 |
| Victoria Rebecca Droor | Physician Assistant | Associates In Dermatology, Inc | 106 Boston Ave, Suite 100, Altamonte Springs, FL 32701-4712 |
| Sarah L Siak | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Ann L Clements | Physician Assistant | Leavitt Medical Associates of Florida Inc | 106 Boston Ave, Suite 105, Altamonte Springs, FL 32701-4711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nateya D Carrington | Obstetrics/gynecology | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Tonya Tanisha Jacobs | Nurse Practitioner | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Edmund C.a. Boulting | Obstetrics/gynecology | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| John Vann Parker | Obstetrics/gynecology | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Donna M Andries | Nurse Practitioner | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Andrea M Lilavois | Nurse Practitioner | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Clyde H Climer | Obstetrics/gynecology | Florida Woman Care LLC | 785 Primera Blvd, Suite 1031, Altamonte Springs, FL 32701 |
| Steven G Sable | Neurology | 499 E Central Pkwy, Suite 150, Altamonte Springs, FL 32701-3401 | |
| Bradford Q Levine | Chiropractic | 499 E Central Pkwy, Suite 245, Altamonte Springs, FL 32701-3401 | |
| Donna J Greifer | Clinical Psychologist | 283 Cranes Roost Blvd, Suite 111, Altamonte Springs, FL 32701-3437 | |
| Find all physicians in zip 32701 | |||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
| Specialty | DERMATOLOGY |
| City + Specialty | ALTAMONTE SPRINGS + DERMATOLOGY |
Please comment or provide details below to improve the information on Jere Joseph Mammino.
| 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.