MEDICARE: HILLSBOROUGH PACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1639036254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLSBOROUGH PACE LLC

Provider Business Mailing Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	855-801-2653
Fax Number	:

Provider Business Practice Location Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	855-801-2653
Fax Number	:

Authorized Official
Title or Position	:	CAO
Name	:	MICHAEL CZERMAK
Credential	:
Telephone Number	:	855-801-2653

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “HILLSBOROUGH PACE LLC ” Practice Location

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