Dr Peter Deballi Iii, MD | |
1600 S Carpenter Rd, Titusville, FL 32796-3619 | |
(321) 289-6914 | |
Not Available |
Full Name | Dr Peter Deballi Iii |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1600 S Carpenter Rd, Titusville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801970538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | ME89272 (Florida) | Primary |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
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Dr Peter Deballi Iii, MD 1600 S Carpenter Rd, Titusville, FL 32796-3619 Ph: (321) 289-6914 | Dr Peter Deballi Iii, MD 1600 S Carpenter Rd, Titusville, FL 32796-3619 Ph: (321) 289-6914 |
Dr. Lee Crocker, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 814 S Washington Ave, Titusville, FL 32780 Phone: 321-567-6300 Fax: 321-567-6320 | |
Frederick Raymond Smith Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3945 Pinetop Blvd, Titusville, FL 32796 Phone: 321-267-5396 | |
Mrs. Katherine Marie Vonniederhausern, PAC Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1832 Garden St, Titusville, FL 32796 Phone: 321-264-1961 Fax: 321-264-0472 | |
Dr. Spade Whittemore, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 814 S Washington Ave, Titusville, FL 32780 Phone: 321-377-1073 | |
Joseph P Ford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
Dr. Vanessa Camille Williams, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Department Of Anesthesia, Titusville, FL 32796 Phone: 321-268-6111 |