George Alan Brant (NPI# 1548526924, PAC ID# 7517237589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1548526924 |
| PAC ID by PECOS | 7517237589 |
| Professional Enrollment ID | I20170724003914 |
| Full Name | George Alan Brant |
| Organization Legal Name | K WADE FOSTER MDPA |
| Address |
609 Indian Rocks Rd Belleair FL 33756-2056 |
| Phone Number | 7274466217 |
| Gender | M |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3173663374 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 609 Indian Rocks Rd, Belleair, FL 33756-2056 | 7274466217 | K WADE FOSTER MDPA |
| 421 Linden Ln, Lake Wales, FL 33853-4342 | 8636763411 | K WADE FOSTER MDPA |
| 6020 Park Blvd N, Pinellas Park, FL 33781-3228 | 7275489196 | K WADE FOSTER MDPA |
| 1450 6th St Se, Winter Haven, FL 33880-4505 | 8632932147 | K WADE FOSTER MDPA |
| Organization Legal Name | K WADE FOSTER MDPA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffanie Wong | Dermatology | K Wade Foster Mdpa | 609 Indian Rocks Rd, Belleair, FL 33756-2056 |
| Rebecca C. Tung | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Laura Ann Atallah | Nurse Practitioner | K Wade Foster Mdpa | 3200 Medical Way, Sebring, FL 33870-5419 |
| Jared T Simmons | Nurse Practitioner | K Wade Foster Mdpa | 1052 Downing Cir, Wauchula, FL 33873-3358 |
| Merrill Ann Hart | Physician Assistant | K Wade Foster Mdpa | 421 Linden Ln, Lake Wales, FL 33853-4342 |
| David Freitag | Dermatology | K Wade Foster Mdpa | 26800 S Tamiami Trl, Suite 360, Bonita Springs, FL 34134-4355 |
| Kenneth A Wallace Iii | Dermatology | K Wade Foster Mdpa | 836 Cr, Suite 466, Lady Lake, FL 32159-8804 |
| Cheryl L Campbell | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Christy A Merrick | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Kent W Foster | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Street Address |
609 INDIAN ROCKS RD |
| City | BELLEAIR |
| State | FL |
| Zip | 33756-2056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffanie Wong | Dermatology | K Wade Foster Mdpa | 609 Indian Rocks Rd, Belleair, FL 33756-2056 |
| George P Pavlidakey | Dermatology | 609 Indian Rocks Rd, Belleair, FL 33756-2056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guillermo W Cosma | Psychiatry | 1305 S Ft Harrison Ave, Bldg F, Clearwater, FL 33756 | |
| Jeanette C Rivas | Clinical Social Worker | 1145 Ponce De Leon Blvd, Clearwater, FL 33756-1040 | |
| Louis M Palermo | Anesthesiology | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Ronda S Anderson | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Julie C Swink | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Ann L Deverell | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| David H Nathan | Dermatology | 1016 Ponce De Leon Blvd, Suite 7, Belleair, FL 33756-1069 | |
| Erin Butler | Nurse Practitioner | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Bhiru A Patel-elio | Family Medicine | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Carol Ann Ives | Nurse Practitioner | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Find all physicians in zip 33756 | |||
| City | BELLEAIR |
| Zip Code | 33756 |
| Specialty | DERMATOLOGY |
| City + Specialty | BELLEAIR + DERMATOLOGY |
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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.