Deborah Tisdale, MD | |
1843 Nw 96th Ave, Plantation, FL 33322-5626 | |
(954) 472-2512 | |
Not Available |
Full Name | Deborah Tisdale |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1843 Nw 96th Ave, Plantation, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013081249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00016984 (Alabama) | Primary |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | Evergreen Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891770368 PECOS PAC ID: 6305942145 Enrollment ID: O20080310000628 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130909000458 |
Mailing Address | Practice Location Address |
---|---|
Deborah Tisdale, MD 1843 Nw 96th Ave, Plantation, FL 33322-5626 Ph: (954) 472-2512 | Deborah Tisdale, MD 1843 Nw 96th Ave, Plantation, FL 33322-5626 Ph: (954) 472-2512 |
Eric Picard, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 954-473-6600 | |
Joshua Michael Frost, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 561-595-2593 | |
Dr. Julian Flores, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 347-256-5535 | |
Dr. Alexander John Scumpia, D.O., M.SC. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd # 200, Plantation, FL 33322 Phone: 877-751-1157 | |
Dr. Sat P Punyani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11613 Nw 5th St, Plantation, FL 33325 Phone: 954-547-6981 Fax: 954-424-7543 | |
Sara Anne Zagroba, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 954-473-6600 |