Dr Gerson Luis Rodriguez-fazzi, MD | |
601 5th St S, 5th Floor Dept 6941, St Petersburg, FL 33701 | |
(727) 767-8480 | |
(727) 767-8420 |
Full Name | Dr Gerson Luis Rodriguez-fazzi |
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Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 601 5th St S, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497791651 | NPI | - | NPPES |
256269300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME78038 (Florida) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | ME78038 (Florida) | Primary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
---|---|
Dr Gerson Luis Rodriguez-fazzi, MD 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-8480 | Dr Gerson Luis Rodriguez-fazzi, MD 601 5th St S, 5th Floor Dept 6941, St Petersburg, FL 33701 Ph: (727) 767-8480 |
Geoffrey Boyajian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Ste A, St Petersburg, FL 33716 Phone: 727-823-2188 Fax: 727-828-0723 | |
Dr. Todd Kenneth Letzring, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1053 | |
Jacqueline Biance, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 | |
Thor William Van Diver, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-828-0723 | |
Shivani M Patel, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-898-7451 | |
Joseph Martin Vulgamore, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Cindy K Hernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3583 Fax: 727-767-8429 |