Diana Braswell, MD | |
1755 N Florida Ave, Lakeland, FL 33805-3109 | |
(863) 904-6201 | |
(866) 264-8519 |
Full Name | Diana Braswell |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 11 Years |
Location | 1755 N Florida Ave, Lakeland, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942629720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | ME134374 (Florida) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME134374 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watson Clinic Llp | 1456258979 | 383 |
Entity Name | Watson Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20100911000029 |
Mailing Address | Practice Location Address |
---|---|
Diana Braswell, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 | Diana Braswell, MD 1755 N Florida Ave, Lakeland, FL 33805-3109 Ph: (863) 904-6201 |
Patricia M Mcnab, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1125 Bartow Rd, Lakeland, FL 33801 Phone: 863-683-7171 | |
Craig Lariscy, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Dr. Timothy James Dickason, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Ste 101, Lakeland, FL 33801 Phone: 863-683-7171 | |
Edward Garcia, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Dr. Tisha Foster, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3200 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-8925 | |
Ricardo E Duque, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1125 Us Highway 98 S, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Evander A Boynton Iii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 |