Dr Edward Paul Secunda, DO | |
14011 Beach Blvd, Suite 120, Jacksonville Beach, FL 32250-2079 | |
(904) 223-6400 | |
(904) 223-6420 |
Full Name | Dr Edward Paul Secunda |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 14011 Beach Blvd, Jacksonville Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053337782 | NPI | - | NPPES |
374713100 | Medicaid | FL | |
080148956 | Other | FL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS5915 (Florida) | Primary |
Entity Name | Palmetto Infusion Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265462659 PECOS PAC ID: 4688578826 Enrollment ID: O20220406002361 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Paul Secunda, DO 7855 Argyle Forest Blvd., Ste. 101, Jacksonville, FL 32244-5597 Ph: (904) 282-6331 | Dr Edward Paul Secunda, DO 14011 Beach Blvd, Suite 120, Jacksonville Beach, FL 32250-2079 Ph: (904) 223-6400 |
Marylin Palackel James, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 3rd St South Suite 3004 B, Jacksonville Beach, FL 32250 Phone: 904-902-0150 | |
Tony Villena, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Beach Blvd, Credentialing Department, Jacksonville Beach, FL 32250 Phone: 904-249-0335 Fax: 904-249-0042 | |
Dr. Hongfei Di, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3288 Antigua Dr, Jacksonville Beach, FL 32250 Phone: 216-548-8796 Fax: 904-850-8078 | |
Dr. Vaughn Eric Dobalian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 228 6th Ave S, Jacksonville Beach, FL 32250 Phone: 904-247-1911 Fax: 904-247-9736 | |
Dr. Howard J Green, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14444 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-367-2277 Fax: 904-421-3788 | |
Dr. Solange Moya Burnette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-396-0000 Fax: 904-396-5206 |