Dr Paul Carl Prator, MD | |
3100 E Fletcher Ave, Tampa, FL 33613-4613 | |
(813) 971-6000 | |
(813) 615-7590 |
Full Name | Dr Paul Carl Prator |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3100 E Fletcher Ave, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013962869 | NPI | - | NPPES |
274179200 | Medicaid | FL | |
31591 | Other | FL | BCBS OF FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME92865 (Florida) | Primary |
Entity Name | Tampa Bay Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
Entity Name | Emergency Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Carl Prator, MD 12479 Telecom Dr, Tampa, FL 33637-0913 Ph: (813) 972-4199 | Dr Paul Carl Prator, MD 3100 E Fletcher Ave, Tampa, FL 33613-4613 Ph: (813) 971-6000 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Mr. Reginald Saint-hilaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |