Alan Moudy, | |
1965 Capital Cir Ne Ste 200, Tallahassee, FL 32308-8402 | |
(850) 656-2006 | |
Not Available |
Full Name | Alan Moudy |
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Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 1965 Capital Cir Ne Ste 200, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316426257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 11004124 (Florida) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | 11004124 (Florida) | Secondary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
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Alan Moudy, 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Alan Moudy, 1965 Capital Cir Ne Ste 200, Tallahassee, FL 32308-8402 Ph: (850) 656-2006 |
Lucille T Saha, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 850-878-5310 Fax: 850-878-4483 | |
Stewart Drew Warren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5741 Fax: 850-431-6403 | |
Dr. Christopher W Delisle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-6230 Fax: 850-644-4251 | |
Dr. Leslie S Emhof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Killearn Center Blvd, Tallahassee, FL 32309 Phone: 850-893-6706 Fax: 850-893-2846 | |
Victoria Roy Bates, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1491 Governors Square Blvd, Tallahassee, FL 32301 Phone: 850-383-3300 Fax: 850-523-7490 | |
Holly Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5714 Fax: 850-431-6403 | |
Moritz Eduard Dehler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Centerville Pl, Tallahassee, FL 32308 Phone: 850-383-3300 Fax: 850-383-3497 |