Connie J Fogle
FABIO ECHAVARRIA, MD, PA


Address: 1715 E Hwy 50 Bldg 3 C, Clermont, FL 34711
Phone: 3822437495

Connie J Fogle (NPI# 1467894584, PAC ID# 7113248444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1467894584
PAC ID by PECOS 7113248444
Professional Enrollment ID I20150611001443
Full Name Connie J Fogle
Organization Legal Name FABIO ECHAVARRIA, MD, PA
Address 1715 E Hwy 50 Bldg 3 C
Clermont
FL 34711
Phone Number 3822437495
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9032360268
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100051 SOUTH LAKE HOSPITAL

Other Locations

Address Phone Organization
1715 E Hwy 50 Bldg 3 C, Clermont, FL 34711 3822437495 FABIO ECHAVARRIA, MD, PA

Organization Information

Organization Legal Name FABIO ECHAVARRIA, MD, PA
Physicians 1

Office Location

Street Address 1715 E HWY 50 BLDG 3 C
City CLERMONT
State FL
Zip 34711

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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
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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
Melanie M Baker Certified Registered Nurse Anesthetist (crna) Florida Anesthesia and Pain Management Associates, LLC 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906
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Competitor

Search similar physicians

City CLERMONT
Zip Code 34711
Specialty NURSE PRACTITIONER
City + Specialty CLERMONT + NURSE PRACTITIONER

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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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