Gina Marie Iacovella
INTENSIVE CARE CONSORTIUM INC


Address: 119 Oakfield Dr, Brandon, FL 33511-5779
Phone: 5619970821

Gina Marie Iacovella (NPI# 1013160043, PAC ID# 4587819800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).

Physician Overview

Nation Provider ID (NPI) 1013160043
PAC ID by PECOS 4587819800
Professional Enrollment ID I20141024001918
Full Name Gina Marie Iacovella
Organization Legal Name INTENSIVE CARE CONSORTIUM INC
Address 119 Oakfield Dr
Brandon
FL 33511-5779
Phone Number 5619970821
Gender F
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Secondary Specialties NEPHROLOGY
Group Practice PAC ID 0244269413
Number of Group Practice Members 248
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100259 SOUTH BAY HOSPITAL
100243 BRANDON REGIONAL HOSPITAL
100075 ST JOSEPHS HOSPITAL
100173 FLORIDA HOSPITAL TAMPA
100128 TAMPA GENERAL HOSPITAL

Other Locations

Address Phone Organization
119 Oakfield Dr, Brandon, FL 33511-5779 5619970821 INTENSIVE CARE CONSORTIUM INC
3100 E Fletcher Ave, Tampa, FL 33613-4613 8139716000 COGENT HEALTHCARE OF JACKSONVILLE, LLC
4710 N Habana Ave, Suite 107, Tampa, FL 33614-7143 8139108708 FLORIDA KIDNEY PHYSICIANS LLC
12662 Telecom Dr, Temple Terrace, FL 33637-0935 8139100030 FLORIDA KIDNEY PHYSICIANS LLC

Organization Information

Organization Legal Name INTENSIVE CARE CONSORTIUM INC
Physicians 219

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Christine D Lallos Anesthesiology Intensive Care Consortium Inc 350 Hospital Dr, Macon, GA 31217-3838
Shawn W Blouin Nurse Practitioner Intensive Care Consortium Inc 119 Oakfield Dr, Brandon, FL 33511-5779
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Office Location

Street Address 119 OAKFIELD DR
City BRANDON
State FL
Zip 33511-5779

Physicians in the same location

Name Specialty Organization Address
Robert Miller Anesthesiology Assistant Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Shawn W Blouin Nurse Practitioner Intensive Care Consortium Inc 119 Oakfield Dr, Brandon, FL 33511-5779
Oleksiy M Zyernov Anesthesiology Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Thomas S Gennara Physician Assistant West Florida Cardiology Network, LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Dhirendra Mehta Anesthesiology Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Ana Maria M Lopez Certified Registered Nurse Anesthetist (crna) Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Robert M Diana Physician Assistant West Florida Cardiology Network, LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Vinay Prasad Pathology Integrated Regional Laboratories Pathology Services, LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Kyle D Wolf Anesthesiology Assistant Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
Justin S Piliego Anesthesiology Assistant Greater Florida Anesthesiologists LLC 119 Oakfield Dr, Brandon, FL 33511-5779
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Physicians in the same zip code

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
Jeffrey Scott Mino 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
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Competitor

Search similar physicians

City BRANDON
Zip Code 33511
Specialty CRITICAL CARE (INTENSIVISTS)
City + Specialty BRANDON + CRITICAL CARE (INTENSIVISTS)

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Dataset Information

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.

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