Dr Myron Elliot Fuller, MD | |
1919 E Highway 50, Clermont, FL 34711-1975 | |
(352) 717-3755 | |
(352) 717-3756 |
Full Name | Dr Myron Elliot Fuller |
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Gender | Male |
Speciality | Family Medicine |
Location | 1919 E Highway 50, Clermont, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932766060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME154231 (Florida) | Primary |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
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Dr Myron Elliot Fuller, MD 1919 E Highway 50, Clermont, FL 34711-1975 Ph: (352) 717-3755 | Dr Myron Elliot Fuller, MD 1919 E Highway 50, Clermont, FL 34711-1975 Ph: (352) 717-3755 |
Dr. Judith A. Moss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17325 Pagonia Rd, Clermont, FL 34711 Phone: 407-905-6006 Fax: 407-636-7806 | |
Case Tedder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17327 Pagonia Rd, Clermont, FL 34711 Phone: 407-905-6000 Fax: 407-636-7848 | |
Jaison John, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-4071 | |
Aalok Sunil Shah, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1925 Don Wickham Dr, Clermont, FL 34711 Phone: 352-404-8956 Fax: 352-404-8958 | |
Dr. Rahila N Chaudhry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Mp Sl Admin, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 | |
Dr. Jorge Ribet, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 E Highway 50 Ste B, Clermont, FL 34711 Phone: 352-241-0549 Fax: 352-242-9325 | |
Aashiv Hari, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Oakley Seaver Dr, Clermont, FL 34711 Phone: 352-536-1764 |