Alvin Tracey Detorres, MD | |
133 Benmore Dr Ste 100, Winter Park, FL 32792 | |
(407) 644-4883 | |
(407) 644-3697 |
Full Name | Alvin Tracey Detorres |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 10 Years |
Location | 133 Benmore Dr Ste 100, Winter Park, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215355086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | ME145495 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Ear Nose And Throat Surgical Associates Pa | 2466437926 | 33 |
Entity Name | The Ear Nose And Throat Surgical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114905148 PECOS PAC ID: 2466437926 Enrollment ID: O20040621000545 |
Mailing Address | Practice Location Address |
---|---|
Alvin Tracey Detorres, MD 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 Ph: (407) 644-4883 | Alvin Tracey Detorres, MD 133 Benmore Dr Ste 100, Winter Park, FL 32792 Ph: (407) 644-4883 |
Dr. Bradley Tyler Johnson, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 | |
Dr. Matthew Edward Herberg, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 | |
Dr. Cynthia Chen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 | |
Dr. Aftab Patni, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr, Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 | |
Dr. Brian Spector, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr, Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 | |
Dr. Jennifer Pamela Rodney, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697 |