Jeffrey Scott Mino (NPI# 1174849277, PAC ID# 4183922511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1174849277 |
| PAC ID by PECOS | 4183922511 |
| Professional Enrollment ID | I20171102003530 |
| Full Name | Jeffrey Scott Mino |
| Organization Legal Name | SUNCOAST SURGICAL ASSOCIATES P A |
| Address |
519 Medical Oaks Dr Brandon FL 33511 |
| Phone Number | 8136571414 |
| Gender | M |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3072546266 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100243 | BRANDON REGIONAL HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 519 Medical Oaks Dr, Brandon, FL 33511 | 8136571414 | SUNCOAST SURGICAL ASSOCIATES P A |
| Organization Legal Name | SUNCOAST SURGICAL ASSOCIATES P A |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Street Address |
519 MEDICAL OAKS DR |
| City | BRANDON |
| State | FL |
| Zip | 33511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter Flora Iii | Optometry | 320 S Lakewood Dr, Brandon, FL 33511-0809 | |
| Maulik Trivedi | Psychiatry | Florida Medical Clinic, LLC | 1602 Oakfield Dr, Suite 205, Brandon, FL 33511-0827 |
| Stephanie Symonds | Nurse Practitioner | Florida Medical Clinic, LLC | 1602 Oakfield Dr, Suite 205, Brandon, FL 33511-0827 |
| Camille A Francis | Clinical Social Worker | Florida Medical Clinic, LLC | 1602 Oakfield Dr, Suite 205, Brandon, FL 33511-0827 |
| Danay Marante | Physician Assistant | Florida Medical Clinic, LLC | 1602 Oakfield Dr, Suite 205, Brandon, FL 33511-0827 |
| Julie Dumois-sands | Clinical Social Worker | Florida Medical Clinic Pa | 1602 Oakfield Dr, Suite 205, Brandon, FL 33511-0827 |
| Matthew W Hutchinson | Optometry | 10921 Causeway Blvd, Brandon, FL 33511-1997 | |
| Lasandra L Mcgrew | Clinical Social Worker | 1411 Oakfield Dr, Brandon, FL 33511-2800 | |
| Christine Exinor | Nurse Practitioner | Suncoast Community Health Centers Inc. | 313 S Lakewood Dr, Brandon, FL 33511-2815 |
| Subhakararao Medidi | Family Medicine | Suncoast Community Health Centers Inc. | 313 S Lakewood Dr, Brandon, FL 33511-2815 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BRANDON + GENERAL SURGERY |
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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.