Samuel Del Rio (NPI# 1265497663, PAC ID# 8921077769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1265497663 |
| PAC ID by PECOS | 8921077769 |
| Professional Enrollment ID | I20100917001049 |
| Full Name | Samuel Del Rio |
| Organization Legal Name | FWC UROGYNECOLOGY LLC |
| Address |
8043 Spyglass Hill Rd Suite 101 Melbourne FL 32940-8563 |
| Phone Number | 3212655116 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8022276542 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100315 | VIERA HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100028 | PARRISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8043 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8563 | 3212655116 | FWC UROGYNECOLOGY LLC |
| Organization Legal Name | FWC UROGYNECOLOGY LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie D Short | Certified Nurse Midwife (cnm) | Fwc Urogynecology LLC | 2801 Se 1st Ave, Suite 101, Ocala, FL 34471-0478 |
| Gregory J Bailey | Obstetrics/gynecology | Fwc Urogynecology LLC | 6440 W Newberry Rd, Suite 409, Gainesville, FL 32605-4381 |
| Meghan L Mader | Nurse Practitioner | Fwc Urogynecology LLC | 2801 Se 1st Ave, Suite 101, Ocala, FL 34471-0478 |
| Lindsay S Mason | Nurse Practitioner | Fwc Urogynecology LLC | 5323 4th Ave Circle E, Bradenton, FL 34208-5623 |
| Jason R Thompson | Obstetrics/gynecology | Fwc Urogynecology LLC | 84 Pinnacles Dr, Suite 500, Palm Coast, FL 32164-2324 |
| Lynn Marie Millard | Nurse Practitioner | Fwc Urogynecology LLC | 2801 Se 1st Ave, Suite 101, Ocala, FL 34471-0478 |
| Rafael J Perez | Obstetrics/gynecology | Fwc Urogynecology LLC | 7000 Sw 62nd Ave, Miami, FL 33143-4716 |
| Kathy Y Jones | Obstetrics/gynecology | Fwc Urogynecology LLC | 2501 N Orange Ave, Suite 309, Orlando, FL 32804-4642 |
| Brittnie E Sanders | Nurse Practitioner | Fwc Urogynecology LLC | 2801 Se 1st Ave, Suite 101, Ocala, FL 34471-0478 |
| Maria De La Luz L Nieto | Obstetrics/gynecology | Fwc Urogynecology LLC | 1309 N Flagler Dr, Good Samaritan Medical Center, West Palm Beach, FL 33401-3406 |
| Street Address |
8043 SPYGLASS HILL RD SUITE 101 |
| City | MELBOURNE |
| State | FL |
| Zip | 32940-8563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janie F Geraci | Obstetrics/gynecology | Florida Woman Care LLC | 8043 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie A Lane | Physical Therapy | Aandm Therapy, Inc | 903 Jordan Blass Dr, Suite 104, Melbourne, FL 32940-1325 |
| Richard D Helton | Chiropractic | Carnol Health Services | 903 Jordan Blass Dr, Suite 102, Melbourne, FL 32940-1325 |
| David M Arteaga | Maxillofacial Surgery | 1371 Bedford Dr, Melbourne, FL 32940-1975 | |
| Krista Trefz | Psychologist, Clinical | Baytree Behavioral Health Pa | 1361 Bedford Dr, Melbourne, FL 32940-1984 |
| Neil Johnathon Frey | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Barbara A Buzzo | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Amelia L Lammers | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Stephen M Giorgianni | Family Medicine | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Tiffany Nicole Michaux | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Jennifer Lorraine Imperato | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Find all physicians in zip 32940 | |||
| City | MELBOURNE |
| Zip Code | 32940 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MELBOURNE + OBSTETRICS/GYNECOLOGY |
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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.