Don Bernard Destephano, MD | |
1 Shircliff Way, Dept Of Pathology, Jacksonville, FL 32204-4748 | |
(904) 308-3803 | |
(904) 308-2970 |
Full Name | Don Bernard Destephano |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1 Shircliff Way, 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 |
---|---|---|---|
1518014695 | NPI | - | NPPES |
064755100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME53628 (Florida) | Primary |
Entity Name | St Vincents Pathology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114074200 PECOS PAC ID: 6103860200 Enrollment ID: O20050618000097 |
Mailing Address | Practice Location Address |
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Don Bernard Destephano, MD Po Box 144333, Orlando, FL 32814-4333 Ph: (407) 422-9831 | Don Bernard Destephano, MD 1 Shircliff Way, Dept Of Pathology, Jacksonville, FL 32204-4748 Ph: (904) 308-3803 |
Dr. Carmela Monteiro, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 655 W 8th St, Ufjp Pathology Dept, Jacksonville, FL 32209 Phone: 904-244-4699 Fax: 904-244-4290 | |
Dr. David Andrew Holloman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 843-323-8883 | |
Dr. Amir Mohammadi, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11156 Wyndham Hollow Ln, Jacksonville, FL 32246 Phone: 480-215-2101 Fax: 904-244-4060 | |
Andras Khoor, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2999 | |
E Dayan Sandler, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-1347 Fax: 904-202-3232 | |
Dr. Bruce Villas, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 655 W 8th St, Ufjp Pathology Dept., Jacksonville, FL 32209 Phone: 904-244-4861 Fax: 904-244-4290 | |
Dr. Md Shahrier Amin, MBBS, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |