Brooke N Maryak, MD | |
4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | |
(904) 953-2000 | |
Not Available |
Full Name | Brooke N Maryak |
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Gender | Female |
Speciality | Anesthesiology |
Location | 4500 San Pablo Rd S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407090285 | NPI | - | NPPES |
009253400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | ME107656 (Florida) | Secondary |
207L00000X | Anesthesiology | ME107656 (Florida) | Primary |
Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255313169 PECOS PAC ID: 4587563408 Enrollment ID: O20040108000602 |
Mailing Address | Practice Location Address |
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Brooke N Maryak, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Brooke N Maryak, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
Dr. Matthew Duwain Warrick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-4195 Fax: 904-244-4908 | |
Dr. Andrea V Rivero, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Jared Paul Knecht, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Peter Louis Kovacs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-421-2119 | |
Sarah G Bodin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207 Phone: 904-387-4030 | |
David Mcenerney Jr., DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 555 West 8th Street, 2nd Floor Pavilion, Jacksonville, FL 32209 Phone: 904-383-1020 | |
M. Elizabeth B Perry, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr, Suite 606, Jacksonville, FL 32207 Phone: 904-398-3356 Fax: 904-398-5397 |