Dr Leiden Ezequiel Gonzalez Pimentel, MD | |
5425 S Florida Ave, Lakeland, FL 33813-2523 | |
(863) 644-3585 | |
(863) 644-3171 |
Full Name | Dr Leiden Ezequiel Gonzalez Pimentel |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 23 Years |
Location | 5425 S Florida Ave, Lakeland, 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 |
---|---|---|---|
1801198791 | NPI | - | NPPES |
18095 | Other | PR | PR LICENSE |
ACN688 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 18095 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN688 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Internal Medicine Care, Pa | 2466504386 | 10 |
Entity Name | Advanced Internal Medicine Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811130339 PECOS PAC ID: 2466504386 Enrollment ID: O20090723000176 |
Mailing Address | Practice Location Address |
---|---|
Dr Leiden Ezequiel Gonzalez Pimentel, MD 5425 S Florida Ave, Lakeland, FL 33813-2523 Ph: (863) 644-3585 | Dr Leiden Ezequiel Gonzalez Pimentel, MD 5425 S Florida Ave, Lakeland, FL 33813-2523 Ph: (863) 644-3585 |
Janmary Figueroa, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 206 N Florida Ave, Lakeland, FL 33801 Phone: 863-209-7003 Fax: 863-284-3083 | |
Dr. Justa Milagros Crespo Torres, MD General Practice Medicare: Medicare Enrolled Practice Location: 4120 Us Highway 98 N Ste 200, Lakeland, FL 33809 Phone: 863-940-3147 Fax: 863-940-3141 | |
Samuel Defigarelli I, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 | |
Dr. Agustin Vanoni, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 4120us Hwy 98 N. Suite 200, Lakeland, FL 33809 Phone: 863-940-3147 | |
Sarim Idrees, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4729 Us Highway 98 S Ste 201, Lakeland, FL 33812 Phone: 863-646-9663 Fax: 863-646-9664 | |
Dr. Luis Garcia Rivera, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5425 S Florida Ave, Lakeland, FL 33813 Phone: 863-644-3585 Fax: 863-644-3171 | |
Prudencio P Aqui, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 Phone: 863-666-1366 Fax: 863-667-0497 |