Dr Hakam Khazrik, MD | |
4100 Waterman Way, Tavares, FL 32778-5270 | |
(352) 343-1117 | |
(866) 445-2968 |
Full Name | Dr Hakam Khazrik |
---|---|
Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 4100 Waterman Way, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154617496 | NPI | - | NPPES |
114745800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | ME157856 (Florida) | Primary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
---|---|
Dr Hakam Khazrik, MD Po Box 102222, Attn Credentialing, Atlanta, GA 30368-2222 Ph: (239) 274-8500 | Dr Hakam Khazrik, MD 4100 Waterman Way, Tavares, FL 32778-5270 Ph: (352) 343-1117 |
Amy Reyes Arnaldy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1749 David Walker Dr, Tavares, FL 32778 Phone: 352-343-0181 Fax: 352-343-0812 | |
Mr. Ronald Roth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1824 Salk Ave, Tavares, FL 32778 Phone: 352-253-0244 Fax: 352-253-1175 | |
Jigna Hitesh Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-636-2286 | |
Rosemary A Cirelli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1876 Nightingale Ln, Tavares, FL 32778 Phone: 352-742-4447 Fax: 352-748-4448 | |
Dr. Cesar Armando Unyon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1879 Nightingale Ln, Tavares, FL 32778 Phone: 352-343-5722 Fax: 352-343-7506 | |
Mr. Samuel J Goss, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1879 Nightingale Lane, Suite C1, Tavares, FL 32778 Phone: 352-742-1171 Fax: 352-742-7241 | |
Cynthia A Laroe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1840 Classique Lane, Tavares, FL 32778 Phone: 352-508-5046 Fax: 352-508-5048 |