Cletus Tanwi Moma
SOUND PHYSICIANS OF FLORIDA IV, LLC

Address: 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Phone: 3865862000

Cletus Tanwi Moma (NPI# 1982998373, PAC ID# 0042446353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1982998373
PAC ID by PECOS 0042446353
Professional Enrollment ID I20140811002599
Full Name Cletus Tanwi Moma
Organization Legal Name SOUND PHYSICIANS OF FLORIDA IV, LLC
Address 60 Memorial Medical Pkwy
Palm Coast
FL 32164-5980
Phone Number 3865862000
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 6002198082
Number of Group Practice Members 52
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100307 ST VINCENT'S MEDICAL CENTER SOUTHSIDE
100232 PUTNAM COMMUNITY MEDICAL CENTER
100014 FLORIDA HOSPITAL NEW SMYRNA
110135 TAYLOR REGIONAL HOSPITAL
100040 ST VINCENT'S MEDICAL CENTER RIVERSIDE

Other Locations

Address Phone Organization
222 Perry Hwy, Hawkinsville, GA 31036-6748 4787830200 SOUTHERN HILLS INPATIENT SERVICES LLC
1 Shircliff Way, Jacksonville, FL 32204-4748 9043083960 HNI MEDICAL SERVICES
401 Palmetto St, New Smyrna Beach, FL 32168-7322 4135312500 COGENT HEALTHCARE OF JACKSONVILLE, LLC
611 Zeagler Dr, Palatka, FL 32177-3810 3863285711 HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA
60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 3865862000 SOUND PHYSICIANS OF FLORIDA IV, LLC

Organization Information

Organization Legal Name SOUND PHYSICIANS OF FLORIDA IV, LLC
Physicians 34

Physicians with the same location

Name Specialty Organization Address
Khadidja Koraibaa INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Nargiz Ruzmetova INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
John R Blevins INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Khizer A Sikander INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Ramon Ortiz Espinal HOSPITALIST SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Andres Montanez- Flores HOSPITALIST SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Malvinder S Makhni INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Khine Min HOSPITALIST SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Noah P Hoskins INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Chidi Chris U Uche FAMILY PRACTICE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast

Office Location

Street Address 60 MEMORIAL MEDICAL PKWY
City PALM COAST
State FL
Zip 32164-5980

Physicians with the same location

Name Specialty Organization Address
John R Blevins INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Khadidja Koraibaa INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Elie J Khouri INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Amanda C Prado CERTIFIED REGISTERED NURSE ANESTHETIST SHERIDAN HEALTHCORP INC 60 Memorial Medical Pkwy, Palm Coast
Stephen P Coltharp Iv EMERGENCY MEDICINE EMERGENCY MEDICINE PROFESSIONALS PA 60 Memorial Medical Pkwy, Palm Coast
Rafael J Rolon Rivera INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Francois R Roche INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Khizer A Sikander INTERNAL MEDICINE SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Saeid Behroozi HOSPITALIST SOUND PHYSICIANS OF FLORIDA IV, LLC 60 Memorial Medical Pkwy, Palm Coast
Leonard Benton ANESTHESIOLOGY SHERIDAN HEALTHCORP INC 60 Memorial Medical Pkwy, Palm Coast

Competitor

Search similar physicians

City PALM COAST
Zip Code 32164
Specialty INTERNAL MEDICINE
City + Specialty PALM COAST + INTERNAL MEDICINE

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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.