Jose Antonio Moreno (NPI# 1164877296, PAC ID# 8325306558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164877296 |
| PAC ID by PECOS | 8325306558 |
| Professional Enrollment ID | I20171218001012 |
| Full Name | Jose Antonio Moreno |
| Organization Legal Name | MEDICAL INTERVENTIONS OF CENTRAL FLORIDA INC |
| Address |
265 W Hwy 50 Medical Interventions Clermont FL 34711-3027 |
| Phone Number | 3523945535 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2264328855 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100051 | SOUTH LAKE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 265 W Hwy 50, Medical Interventions, Clermont, FL 34711-3027 | 3523945535 | MEDICAL INTERVENTIONS OF CENTRAL FLORIDA INC |
| Organization Legal Name | MEDICAL INTERVENTIONS OF CENTRAL FLORIDA INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kajalben A Patel | Physician Assistant | Medical Interventions of Central Florida Inc | 265 W Hwy 50, Medical Interventions, Clermont, FL 34711-3027 |
| Michael S Frasure | Nurse Practitioner | Medical Interventions of Central Florida Inc | 265 W Hwy 50, Medical Interventions, Clermont, FL 34711-3027 |
| Street Address |
265 W HWY 50 MEDICAL INTERVENTIONS |
| City | CLERMONT |
| State | FL |
| Zip | 34711-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime C Gonzalez | Internal Medicine | 265 W Hwy 50, Transition Care Services, Clermont, FL 34711-3027 | |
| Mary Angelie Garay | Physical Therapy | 265 W Hwy 50, Clermont, FL 34711-3027 | |
| Kajalben A Patel | Physician Assistant | Medical Interventions of Central Florida Inc | 265 W Hwy 50, Medical Interventions, Clermont, FL 34711-3027 |
| Michael S Frasure | Nurse Practitioner | Medical Interventions of Central Florida Inc | 265 W Hwy 50, Medical Interventions, Clermont, FL 34711-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Fogle | Nurse Practitioner | Fabio Echavarria, Md, Pa | 1715 E Hwy 50 Bldg 3 C, Clermont, FL 34711 |
| Julie Miranda | Chiropractic | 2560 E Hwy 50, Clermont, FL 34711 | |
| Paul Harrington | Internal Medicine | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| Kevin D Nowicki | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Patrick G Fairchild | Infectious Disease | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| David H Lucas | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Delena A Santoro | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Neil A Chivington | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Michael J Guillory -smith | Anesthesiology | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Salma Hitawala | Internal Medicine | 255 Citrus Tower Blvd, Suite 205, Clermont, FL 34711-1906 | |
| Find all physicians in zip 34711 | |||
| City | CLERMONT |
| Zip Code | 34711 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLERMONT + 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.