Dr Nataliya G Stumbo, DO | |
1447 Medical Park Blvd, Suite 402, Wellington, FL 33414-3164 | |
(561) 790-2600 | |
(561) 790-1535 |
Full Name | Dr Nataliya G Stumbo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1447 Medical Park Blvd, Wellington, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225236599 | NPI | - | NPPES |
003118500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1732 (Florida) | Secondary |
208000000X | Pediatrics | 0510639 (Florida) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Nataliya G Stumbo, DO 1447 Medical Park Blvd, Suite 402, Wellington, FL 33414-3164 Ph: (561) 790-2600 | Dr Nataliya G Stumbo, DO 1447 Medical Park Blvd, Suite 402, Wellington, FL 33414-3164 Ph: (561) 790-2600 |
Middey Damian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1447 Medical Park Blvd Ste 104, Wellington, FL 33414 Phone: 561-792-1525 Fax: 561-782-1521 | |
Mohamed Chan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 468 Old Country Rd, Wellington, FL 33414 Phone: 561-676-5164 | |
Dr. Michael L. Bruck, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd., Suite 402, Wellington, FL 33414 Phone: 561-791-1935 Fax: 561-791-0115 | |
Dr. Lawrence Russell Bergman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd, Ste 303, Wellington, FL 33414 Phone: 561-798-5565 Fax: 561-798-9756 | |
Dr. Edith Michelle Spencer-morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10101 Forest Hill Blvd, Wellington, FL 33414 Phone: 561-798-8599 | |
Dr. Jodi Ellen Star, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Guiding Light Wellness Center, 3319 State Road 7 Ste 210, Wellington, FL 33449 Phone: 561-422-3314 Fax: 561-422-3315 |