Christine Petzing, MD | |
2675 Tampa Rd, Palm Harbor, FL 34684-3109 | |
(727) 467-7423 | |
Not Available |
Full Name | Christine Petzing |
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Gender | Female |
Speciality | Family Medicine |
Location | 2675 Tampa Rd, Palm Harbor, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346348265 | NPI | - | NPPES |
113122100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-105731 (Illinois) | Primary |
Entity Name | Outer Banks Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
---|---|
Christine Petzing, MD 6310 Capital Dr, Lakewood Ranch, FL 34202-5013 Ph: (727) 467-7423 | Christine Petzing, MD 2675 Tampa Rd, Palm Harbor, FL 34684-3109 Ph: (727) 467-7423 |
Susan Baldi, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36440 Us 19n, Palm Harbor, FL 34684 Phone: 727-786-0696 Fax: 727-786-5596 | |
Dr. Andres Amilcar Bonelli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36454 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-460-7049 Fax: 727-787-6221 | |
Dr. Edward Salib, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684 Phone: 727-754-1984 Fax: 727-754-2868 | |
Gregory E Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Woodlands Pkwy, Palm Harbor, FL 34685 Phone: 727-953-9041 Fax: 727-953-9043 | |
Dr. Steven E Arnold, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684 Phone: 727-787-5577 | |
Dr. Julie Braddy-roberts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Tampa Rd Ste 102, Palm Harbor, FL 34684 Phone: 727-781-3150 Fax: 813-635-2636 | |
Johanna D'urso Taldone, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2835 Alt 19, Palm Harbor, FL 34683 Phone: 727-786-7906 Fax: 727-784-7888 |