Dr Luis M Rodriguez Gonzalez, MD | |
4597 Casablanca Cir, Sebring, FL 33870-1206 | |
(863) 236-9550 | |
(877) 832-3363 |
Full Name | Dr Luis M Rodriguez Gonzalez |
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Gender | Male |
Speciality | General Practice |
Location | 4597 Casablanca Cir, Sebring, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770504565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN1350 (Florida) | Primary |
Entity Name | Shield Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184125338 PECOS PAC ID: 0648534479 Enrollment ID: O20180503000441 |
Mailing Address | Practice Location Address |
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Dr Luis M Rodriguez Gonzalez, MD 2909 Winglewood Cir, Lutz, FL 33558-5036 Ph: (914) 979-4269 | Dr Luis M Rodriguez Gonzalez, MD 4597 Casablanca Cir, Sebring, FL 33870-1206 Ph: (863) 236-9550 |
Dr. Carlos M Baez Cubille, MD General Practice Medicare: Medicare Enrolled Practice Location: 4597 Casablanca Cir, Sebring, FL 33870 Phone: 863-236-9550 Fax: 877-832-3363 | |
Mr. Victor Medina Seralde, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3750 Us Highway 27 N Ste 4f, Sebring, FL 33870 Phone: 863-382-4949 Fax: 863-382-3811 | |
Dr. Nahed Azmy Nagib, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 3015 Herring Ave, Sebring, FL 33870 Phone: 863-471-1870 Fax: 863-382-3324 | |
Dr. Cirilo M. Seralde Jr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 343 S Commerce Ave, Sebring, FL 33870 Phone: 863-382-2772 Fax: 863-382-3172 |