Dr Diana M Cordero, MD | |
3720 Beach Blvd, Jacksonville, FL 32207-3814 | |
(904) 475-2039 | |
(904) 330-0668 |
Full Name | Dr Diana M Cordero |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 3720 Beach Blvd, 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 |
---|---|---|---|
1053357707 | NPI | - | NPPES |
P00906112 | Other | FL | MEDICARE RAILROAD |
004693201 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | ME0057227 (Florida) | Secondary |
207R00000X | Internal Medicine | ME0057227 (Florida) | Primary |
Entity Name | Ace Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265772370 PECOS PAC ID: 3971745712 Enrollment ID: O20130807000993 |
Mailing Address | Practice Location Address |
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Dr Diana M Cordero, MD 3720 Beach Blvd, Jacksonville, FL 32207-3814 Ph: (904) 475-2039 | Dr Diana M Cordero, MD 3720 Beach Blvd, Jacksonville, FL 32207-3814 Ph: (904) 475-2039 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |