Dr Nela F Ballesteros Moyano, MD | |
107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 | |
(407) 310-3102 | |
Not Available |
Full Name | Dr Nela F Ballesteros Moyano |
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Gender | Female |
Speciality | General Practice |
Location | 107 Lake Emma Cove Dr, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174026348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | ACN1184 (Florida) | Secondary |
208D00000X | General Practice | ACN1184 (Florida) | Primary |
Entity Name | Florida Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Entity Name | Elevate Primary Care & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336986827 PECOS PAC ID: 0042757809 Enrollment ID: O20240730001901 |
Mailing Address | Practice Location Address |
---|---|
Dr Nela F Ballesteros Moyano, MD 107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 Ph: (407) 310-3102 | Dr Nela F Ballesteros Moyano, MD 107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 Ph: (407) 310-3102 |
Angela Adeswua Asemota, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 917 Rinehart Rd Ste 1051, Lake Mary, FL 32746 Phone: 407-647-2346 |