Benedicta Olamide Udeagbala, DO | |
1505 53rd Ave E, Bradenton, FL 34203-4249 | |
(941) 357-7950 | |
Not Available |
Full Name | Benedicta Olamide Udeagbala |
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Gender | Female |
Speciality | Family Medicine |
Location | 1505 53rd Ave E, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275633786 | NPI | - | NPPES |
0241812 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34006079 (Ohio) | Secondary |
207Q00000X | Family Medicine | OS17771 (Florida) | Primary |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
---|---|
Benedicta Olamide Udeagbala, DO 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (941) 357-7950 | Benedicta Olamide Udeagbala, DO 1505 53rd Ave E, Bradenton, FL 34203-4249 Ph: (941) 357-7950 |
Anthony J Montanaro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1533 4th Ave W, Bradenton, FL 34205 Phone: 941-527-0259 Fax: 941-527-0263 | |
Svetlana Kovtunova, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-845-4963 | |
Dr. Tiffany Solorzano Hubman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-745-7286 | |
Dr. Robert E Blackwood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7005 Cortez Rd W, Bradenton, FL 34210 Phone: 941-792-2122 Fax: 941-798-2019 | |
Marcella P Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5534 Cortez Rd W, Bradenton, FL 34210 Phone: 941-757-2100 Fax: 941-757-2101 | |
Kelly Duggin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd, Suite 210, Bradenton, FL 34202 Phone: 941-782-2800 Fax: 941-782-2513 | |
Dr. Michael Andrew Howell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Manatee Ave W, Bradenton, FL 34205 Phone: 941-896-8676 Fax: 941-896-8681 |