Angel A Luciano, MD | |
119 Oakfield Dr, Brandon, FL 33511-5779 | |
(813) 571-5373 | |
(727) 767-4391 |
Full Name | Angel A Luciano |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 119 Oakfield Dr, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184714727 | NPI | - | NPPES |
002362900 | Medicaid | FL | |
149JR | Other | FL | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME107390 (Florida) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ME107390 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | West Coast Neonatology, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085715 PECOS PAC ID: 0446387641 Enrollment ID: O20100420000612 |
Mailing Address | Practice Location Address |
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Angel A Luciano, MD 2501 N Orange Ave Ste 446, Orlando, FL 32804-4644 Ph: (407) 303-2528 | Angel A Luciano, MD 119 Oakfield Dr, Brandon, FL 33511-5779 Ph: (813) 571-5373 |
Shelley Smith Tickett, Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511 Phone: 813-699-3995 | |
Dr. Monica Shah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 S Parsons Ave, Brandon, FL 33511 Phone: 813-685-4553 Fax: 813-681-1191 | |
Noelle Vallimont, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 681 W Lumsden Rd, Brandon, FL 33511 Phone: 813-655-7726 | |
Robert Neil Pelaez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511 Phone: 813-699-3995 | |
Anna Maria Myers, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 S Parsons Ave, Brandon, FL 33511 Phone: 813-685-4553 Fax: 813-681-1191 | |
Dr. Alicia Medrano Ong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1037 Professional Park Dr, Brandon, FL 33511 Phone: 813-684-5659 Fax: 813-685-2640 | |
Shivinder Narwal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 S Moon Ave Ste 103, Brandon, FL 33511 Phone: 813-324-2613 Fax: 813-324-2614 |