Active NPI 1538422738 Individual Practitioner Male Practitioner

Dr. Christopher Michael Minello , DO

Internal Medicine • Wildwood, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Minello, DO is a certified Internal Medicine practicing in Wildwood, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Minello delivers high-quality medical care to the local community at 5437 E SR 44.

Dr. Minello maintains professional affiliations with Cora Health Services Inc, Legacy Healthcare Services Inc, Orlando Physicians Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5437 E Sr 44

Wildwood, FL 347486014

Telephone 3527871324

Fax 3523651003

Associated Practice Facility / Clinic

🏢 Leesburg Family Medicine Facility NPI 1467418319

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wildwood, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +0.3 yrs vs City Avg

City Avg: 13.7 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Wildwood, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Minello (14 Years) 14 Yrs

Wildwood Specialty Average (13.7 Years) 13.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	725	379	$48.00	$16.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	651	357	$381.00	$124.79
99213 Established patient office or other outpatient visit, typically 15 minutes	213	152	$269.00	$88.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	183	183	$500.00	$163.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$385.00	$126.86
G0008 Administration of influenza virus vaccine	62	62	$76.00	$31.66
90662 Influenza vaccine split virus, preservative free	62	62	$129.00	$81.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	48	$154.00	$52.06
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$65.00	$13.97
81003 Automated urinalysis test	24	21	$7.00	$2.20
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$719.00	$285.69
99496 Transitional care management services for problem of high complexity	18	17	$821.00	$271.72
G0009 Administration of pneumococcal vaccine	18	18	$76.00	$31.66
90471 Administration of 1 vaccine	14	14	$59.00	$19.74
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$495.00	$162.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$535.00	$176.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	130	$314.31	$125.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$497.51	$166.92
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$230.74	$89.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	62	49	$215.00	$104.01
99306 Initial nursing facility visit, typically 45 minutes per day	42	39	$393.00	$178.23
G0008 Administration of influenza virus vaccine	37	37	$72.49	$30.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	31	$164.00	$72.52
90662 Influenza vaccine split virus, preservative free	31	31	$129.00	$71.93
36415 Insertion of needle into vein for collection of blood sample	28	26	$17.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$308.26	$127.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	15	$215.00	$104.06
99495 Transitional care management services for problem of at least moderate complexity	13	13	$420.00	$198.13
96127 Assessment of emotional or behavioral problems	12	12	$16.00	$4.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	171	$245.38	$126.00
99306 Initial nursing facility visit, typically 45 minutes per day	182	153	$370.79	$161.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	171	79	$197.63	$88.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	122	68	$149.90	$67.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	67	$148.96	$67.45
36415 Insertion of needle into vein for collection of blood sample	98	57	$17.00	$2.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	56	$192.88	$89.00
96127 Assessment of emotional or behavioral problems	80	80	$16.00	$4.54
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$170.71	$89.17
G0008 Administration of influenza virus vaccine	46	43	$49.48	$28.33
99318 Nursing facility annual assessment, typically 30 minutes	42	42	$155.00	$93.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	38	35	$110.00	$69.95
G0009 Administration of pneumococcal vaccine	29	29	$46.97	$28.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$383.95	$164.65
99495 Transitional care management services for problem of at least moderate complexity	18	18	$381.11	$202.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$187.00	$128.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$337.86	$177.77
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$430.00	$278.05
0064A Adm sarscov2 50mcg/0.25mlbst	12	12	$50.00	$37.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	498	271	$225.00	$127.91
36415 Insertion of needle into vein for collection of blood sample	307	196	$17.00	$3.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	232	78	$188.00	$89.50
99306 Initial nursing facility visit, typically 45 minutes per day	176	149	$350.00	$164.21
99213 Established patient office or other outpatient visit, typically 15 minutes	142	110	$153.00	$90.15
0012A Adm sarscov2 100mcg/0.5ml2nd	137	137	$44.39	$30.51
0011A Adm sarscov2 100mcg/0.5ml1st	108	108	$25.46	$16.81
96127 Assessment of emotional or behavioral problems	67	66	$16.00	$4.60
G0008 Administration of influenza virus vaccine	62	62	$42.00	$16.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	54	54	$110.00	$66.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	33	$188.00	$89.64
85610 Blood test, clotting time	44	29	$32.00	$4.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	28	$144.00	$67.78
99318 Nursing facility annual assessment, typically 30 minutes	40	40	$155.00	$94.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	26	$61.58	$22.22
99495 Transitional care management services for problem of at least moderate complexity	32	28	$350.00	$203.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	23	$144.00	$67.94
0004A Fee covid-19 vac 1 res	28	28	$50.00	$38.50
0064A Adm sarscov2 50mcg/0.25mlbst	24	24	$50.00	$38.50
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	22	22	$50.00	$38.50
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$272.00	$127.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$303.00	$179.53
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	17	17	$50.00	$38.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$132.00	$52.05
G0009 Administration of pneumococcal vaccine	11	11	$42.00	$16.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	554	273	$225.00	$107.45
36415 Insertion of needle into vein for collection of blood sample	434	248	$17.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	256	160	$153.00	$73.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	242	72	$188.00	$91.34
96127 Assessment of emotional or behavioral problems	203	202	$16.00	$4.77
G0008 Administration of influenza virus vaccine	136	135	$42.00	$16.28
99306 Initial nursing facility visit, typically 45 minutes per day	98	74	$350.00	$167.94
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	98	98	$110.00	$61.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	61	$144.00	$68.87
99495 Transitional care management services for problem of at least moderate complexity	41	32	$350.00	$179.24
85610 Blood test, clotting time	27	24	$32.00	$4.29
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	24	$272.00	$129.94
99306 Initial nursing facility visit, typically 45 minutes per day	25	22	$350.00	$166.40
99318 Nursing facility annual assessment, typically 30 minutes	24	24	$155.00	$96.56
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$35.00	$19.50
G0009 Administration of pneumococcal vaccine	22	22	$42.00	$16.13
81003 Automated urinalysis test	21	20	$20.00	$2.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$132.00	$52.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$199.00	$116.27
90653 Vaccine for influenza for injection into muscle	15	15	$75.00	$59.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$303.00	$144.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	657	123	$110.00	$40.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	563	190	$144.00	$68.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	547	284	$225.00	$106.92
36415 Insertion of needle into vein for collection of blood sample	525	307	$17.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	411	242	$153.00	$72.90
96127 Assessment of emotional or behavioral problems	271	260	$16.00	$5.09
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	224	44	$127.00	$47.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	129	46	$188.00	$90.88
G0008 Administration of influenza virus vaccine	102	100	$42.00	$15.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	86	76	$272.00	$129.61
G0009 Administration of pneumococcal vaccine	66	66	$42.00	$15.95
90653 Vaccine for influenza for injection into muscle	65	65	$75.00	$58.34
99495 Transitional care management services for problem of at least moderate complexity	61	52	$350.00	$160.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	46	$132.00	$52.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$170.72	$110.16
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	43	32	$93.00	$43.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	37	$191.00	$89.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$35.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$187.00	$114.27
90670 Pneumococcal vaccine for injection into muscle	26	26	$287.31	$206.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	11	$64.00	$16.25
99306 Initial nursing facility visit, typically 45 minutes per day	16	15	$350.00	$166.06
81002 Urinalysis, manual test	16	15	$20.00	$3.41
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	14	13	$221.00	$89.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$110.00	$44.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$365.00	$162.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	999	669	$17.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	589	294	$225.00	$104.87
99213 Established patient office or other outpatient visit, typically 15 minutes	414	238	$153.00	$70.70
G0008 Administration of influenza virus vaccine	196	194	$42.00	$19.57
90662 Influenza vaccine split virus, preservative free	179	177	$61.46	$52.11
96127 Assessment of emotional or behavioral problems	90	90	$16.00	$6.02
99495 Transitional care management services for problem of at least moderate complexity	89	70	$350.00	$159.08
G0009 Administration of pneumococcal vaccine	87	85	$42.00	$19.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	86	61	$110.00	$40.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$187.00	$113.03
90670 Pneumococcal vaccine for injection into muscle	44	44	$223.00	$196.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	43	$132.00	$52.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$120.56	$105.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	12	$64.00	$19.70
G0444 Annual depression screening, 5 to 15 minutes	25	25	$59.00	$17.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$365.00	$160.85
81002 Urinalysis, manual test	20	20	$20.00	$3.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$25.00	$18.65
69210 Removal of impacted ear wax	18	16	$189.00	$47.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$303.00	$141.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	412	246	$225.00	$103.76
99213 Established patient office or other outpatient visit, typically 15 minutes	318	201	$153.00	$70.36
36415 Insertion of needle into vein for collection of blood sample	233	163	$17.00	$2.94
G0008 Administration of influenza virus vaccine	160	160	$42.00	$24.05
90662 Influenza vaccine split virus, preservative free	139	139	$49.54	$47.65
96127 Assessment of emotional or behavioral problems	77	77	$17.00	$5.30
99495 Transitional care management services for problem of at least moderate complexity	64	59	$350.00	$157.23
G0444 Annual depression screening, 5 to 15 minutes	62	62	$59.00	$17.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	23	$64.00	$24.15
G0009 Administration of pneumococcal vaccine	43	43	$42.00	$24.05
90670 Pneumococcal vaccine for injection into muscle	29	29	$208.00	$188.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	22	$132.00	$51.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$22.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$111.40	$96.29
81002 Urinalysis, manual test	14	14	$20.00	$3.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$241.00	$105.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$365.00	$159.63

Medical Specialties & State Licenses

CMS Verified: 2023-02-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL OS19610

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA OS017467

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102988225005 (PA)

Medicaid State Provider ID

04625325 (NY)

Hospital & Practice Group Affiliations

Orlando Physicians Network Inc

5437 E Sr, Wildwood, FL 347858282

Phone: 3523239505

Legacy Healthcare Services Inc

1550 Killingsworth Way, The Villages, FL 321622175

Phone: 3526332971

Cora Health Services Inc

1050 Old Camp Rd, The Villages, FL 321621762

Phone: 3526933378

Cora Health Services Inc

1050 Old Camp Rd, The Villages, FL 321621762

Phone: 3526933378

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Michael Mcginnity , PA-C

Physician Assistant

NPI 1245252048

Physician Assistant (Certified)

Dr. Ralph Kensell , MD

Family Medicine

NPI 1457306607

Doctor of Medicine (M.D.)

Dr. Larry Foster , MD

Family Medicine

NPI 1477559060

Doctor of Medicine (M.D.)

Dr. Kenneth Obiaja , MD, MPH

Family Medicine

NPI 1639342363

Doctor of Medicine (M.D.), Master of Public Health

Dr. Mirta Cura-Lukich , MD

Specialist

NPI 1669493599

Doctor of Medicine (M.D.)

Christina Blanton , AGPCCNP

Nurse Practitioner - Adult Health

NPI 1679001762

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location February 24, 2023

Registered at 5437 E SR 44, WILDWOOD, FL 347486014 (Tel: 3527871324)

📍

Updated Business Mailing Address February 24, 2023

Registered at 5437 E SR 44, WILDWOOD, FL 347486014 (Tel: 3527871324)

📍

Updated Business Mailing Address March 04, 2021

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401699 (Tel: 5708886666)

✅

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2017

Registered at 132 COLONIAL DR, TOWANDA, PA 188488107 (Tel: 5702656165)

📍

Updated Business Mailing Address December 07, 2017

Registered at 1145 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 184112221 (Tel: 5705851300)

👤

Provider Name / Credentials Updated December 07, 2017

Recorded as CHRISTOPHER MINELLO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Internal Medicine (License #OS017467 in PA)

✅

NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2015

Registered at 1145 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 184112221 (Tel: 5705851300)

📍

Updated Business Mailing Address July 22, 2015

Registered at 1145 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 184112221 (Tel: 5705851300)

👤

Provider Name / Credentials Updated July 22, 2015

Recorded as CHRISTOPHER MINELLO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Internal Medicine (License #OS017467 in PA)

🟢

Initial NPI Registration & Enumeration June 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538422738

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2012

Last Update: February 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5437 E Sr 44

Wildwood, FL 347486014

Phone: 3527871324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.