Dr Hamidreza Ebneshahidi, MD | |
601 E Dixie Ave Ste 102, Leesburg, FL 34748-5953 | |
(352) 350-8888 | |
(844) 388-6186 |
Full Name | Dr Hamidreza Ebneshahidi |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 16 Years |
Location | 601 E Dixie Ave Ste 102, Leesburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710473889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 19992 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN1122 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Medical Associates Llc | 0648271155 | 133 |
Entity Name | Florida Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
Mailing Address | Practice Location Address |
---|---|
Dr Hamidreza Ebneshahidi, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Dr Hamidreza Ebneshahidi, MD 601 E Dixie Ave Ste 102, Leesburg, FL 34748-5953 Ph: (352) 350-8888 |
Dr. Jackeline Lopez, General Practice Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave Ste 101, Leesburg, FL 34748 Phone: 352-326-4031 Fax: 352-360-0257 | |
Dr. Gilbert Acevedo Acosta, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 801 E Dixie Ave Ste 101, Leesburg, FL 34748 Phone: 352-326-4031 Fax: 352-360-0257 | |
Jose Llamas, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 352-350-2014 | |
Blandine Pierre, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Omar Jose Vazquez Alicea, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Yanira R. Feliciano Montalvo, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 844-388-6186 |