Dr Lance Wyble, MD | |
3030 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6308 | |
(813) 872-2924 | |
(813) 879-4264 |
Full Name | Dr Lance Wyble |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 3030 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861455610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ME50954 (Florida) | Primary |
Entity Name | Pediatrix Medical Group Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Mailing Address | Practice Location Address |
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Dr Lance Wyble, MD 3030 W Dr Mlking Jr Blvd, Tampa, FL 33607-1165 Ph: (813) 872-2924 | Dr Lance Wyble, MD 3030 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6308 Ph: (813) 872-2924 |
Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749 | |
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812 | |
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184 | |
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149 | |
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583 | |
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328 | |
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064 |