Dr Khannia Erif Thomas, MD | |
212 E Main St, Tavares, FL 32778-3808 | |
(407) 905-8827 | |
(352) 742-3264 |
Full Name | Dr Khannia Erif Thomas |
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Gender | Female |
Speciality | Family Medicine |
Location | 212 E Main St, 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 |
---|---|---|---|
1770756587 | NPI | - | NPPES |
014797300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2011024868 (Missouri) | Secondary |
207Q00000X | Family Medicine | ME123627 (Florida) | Primary |
Entity Name | Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
Entity Name | Community Health Center Of Pinellas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467873315 PECOS PAC ID: 8527961028 Enrollment ID: O20040131000031 |
Mailing Address | Practice Location Address |
---|---|
Dr Khannia Erif Thomas, MD 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827 | Dr Khannia Erif Thomas, MD 212 E Main St, Tavares, FL 32778-3808 Ph: (407) 905-8827 |
Devlin O'connor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Waterman Way, Tavares, FL 32778 Phone: 352-343-0181 Fax: 352-343-0812 | |
Dr. Perth Agusta Blake, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Classique Ln, Tavares, FL 32778 Phone: 352-508-5046 Fax: 352-508-5048 | |
James L. Willis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Dr. John Thomas Watson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
David G Koo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Stephen E Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1707 Mayo Drive, Tavares, FL 32778 Phone: 352-253-2511 Fax: 352-253-2522 | |
Chuong Hoang Vu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1755 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8830 Fax: 352-742-8826 |