Dr Jeffrey Thomas Nelson, DO | |
960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | |
(407) 934-4100 | |
(407) 934-4101 |
Full Name | Dr Jeffrey Thomas Nelson |
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Gender | Male |
Speciality | Family Medicine |
Location | 960 Back Stage Ln, Lake Buena Vista, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295036697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS11411 (Florida) | Primary |
Entity Name | West Orange Family Medical Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184710295 PECOS PAC ID: 9032183074 Enrollment ID: O20040824001398 |
Mailing Address | Practice Location Address |
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Dr Jeffrey Thomas Nelson, DO 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 Ph: (407) 934-4100 | Dr Jeffrey Thomas Nelson, DO 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 Ph: (407) 934-4100 |
Dr. Kurtis B Mohr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 960 Back Stage Ln, Lake Buena Vista, FL 32830 Phone: 407-934-4100 Fax: 407-934-4101 | |
Michael Wayne Hankins, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Backstage Lane, Lake Buena Vista, FL 32830 Phone: 407-390-5572 | |
Dr. Boris Fabricio Onate, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Back Stage Lane, Lake Buena Vista, FL 32830 Phone: 407-934-4100 Fax: 407-934-4101 | |
Steven Vonsee, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Backstage Lane, Lake Buena Vista, FL 32830 Phone: 407-560-7005 |