Michael R King (NPI# 1578591095, PAC ID# 0749252542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578591095 |
| PAC ID by PECOS | 0749252542 |
| Professional Enrollment ID | I20160208000629 |
| Full Name | Michael R King |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Address |
44 Veterans Ave Brooksville FL 34601-3215 |
| Phone Number | 3527973500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264595941 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100264 | OAK HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12220 Cortez Blvd, Brooksville, FL 34613-2631 | 3525565216 | CARE ONE OF FLORIDA LLC |
| 44 Veterans Ave, Brooksville, FL 34601-3215 | 3527973500 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| 11115 County Line Rd, Spring Hill, FL 34609-5615 | 3526831982 | CARE ONE OF FLORIDA LLC |
| 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 3525966632 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie D Coombs | Physician Assistant | Community Hospital Family Practice LLC | 201 14th St Sw, Largo, FL 33770-3133 |
| Anthony J Dedea | Family Medicine | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Andrea Wislotsky | Nurse Practitioner | Community Hospital Family Practice LLC | 13540 Walshingham Rd, Largo, FL 33774-3546 |
| Morrissa L Soto | Certified Nurse Midwife (cnm) | Community Hospital Family Practice LLC | 4015 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Brent Rentfro | Physician Assistant | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Jerry R Jacobs | Family Medicine | Community Hospital Family Practice LLC | 16332 Cortez Blvd, Unit F, Brooksville, FL 34601-8980 |
| Niloufer S Kero | Obstetrics/gynecology | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 207, Brooksville, FL 34613-5405 |
| Richard O Chlouber | Obstetrics/gynecology | Community Hospital Family Practice LLC | 4003 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Timothy N Peterson | Family Medicine | Community Hospital Family Practice LLC | 7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005 |
| John Mitchell Clarke | General Surgery | Community Hospital Family Practice LLC | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4567 |
| Street Address |
44 VETERANS AVE |
| City | BROOKSVILLE |
| State | FL |
| Zip | 34601-3215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Rentfro | Physician Assistant | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Angelina Rodriguez | Family Medicine | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Yelena Tarasenko | Family Medicine | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Jorge M Rodriguez | Family Practice | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Comi | Clinical Social Worker | 15123 Morgan Ln, Brooksville, FL 34601-1106 | |
| Deborah A Duvall | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
| Allison J Stuart | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
| Nicole H Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Kera Marie Connolly | General Practice | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Brian J Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Sisto Serafini | Internal Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Jatin N Sheth | Family Medicine | Access Health Care Physicians LLC | 920 W Jefferson St, Brooksville, FL 34601-2428 |
| Christopher J Larocca | Chiropractic | 43 W Fort Dade Ave, Brooksville, FL 34601-2503 | |
| Bhupatiraju Rama R Raju | Internal Medicine | Access Health Care Physicians LLC | 750 Desoto Ave, Brooksville, FL 34601-2814 |
| Find all physicians in zip 34601 | |||
| City | BROOKSVILLE |
| Zip Code | 34601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROOKSVILLE + FAMILY 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.