Dr Lisa Champoux-rhoden, MD | |
2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | |
(813) 689-7139 | |
(813) 443-8157 |
Full Name | Dr Lisa Champoux-rhoden |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2470 Bloomingdale Ave Ste 223, Valrico, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619970597 | NPI | - | NPPES |
251446000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME70484 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Champoux-rhoden, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 532-1355 | Dr Lisa Champoux-rhoden, MD 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 Ph: (813) 689-7139 |
Dr. Marife Quiros, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157 | |
Dr. Robert Michael Friedmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157 | |
Dr. Alfred Ching, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2544 Mason Oaks Dr, Valrico, FL 33594 Phone: 813-684-4724 | |
Dr. Meesha Kshemal Mankodi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157 | |
Dr. Patricia A Curtin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157 | |
Dr. Brent D Mook Sang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157 |