Mrs Rezwan R Ashdji, MD | |
1301 Plantation Island Dr S, Suite 402 B, St Augustine, FL 32080-3108 | |
(904) 823-3777 | |
(904) 823-3363 |
Full Name | Mrs Rezwan R Ashdji |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1301 Plantation Island Dr S, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730190042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0057416 (Florida) | Primary |
Entity Name | Crescent Beach Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033451380 PECOS PAC ID: 5991945289 Enrollment ID: O20130710000292 |
Mailing Address | Practice Location Address |
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Mrs Rezwan R Ashdji, MD 6573 A1a South, St Augustine, FL 32080 Ph: (904) 342-7363 | Mrs Rezwan R Ashdji, MD 1301 Plantation Island Dr S, Suite 402 B, St Augustine, FL 32080-3108 Ph: (904) 823-3777 |
Dr. Jesus Manuel Salas Noain, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 40 Groover Loop Ste 200, St Augustine, FL 32086 Phone: 904-398-7205 Fax: 904-823-9613 | |
Dr. Rosemarie L. Lim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244 | |
Dr. David Brett Goldberg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Dr. Gaurav Trikha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672 | |
Dr. Adey A A Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310 | |
Bernard R Borbely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086 Phone: 904-819-6800 Fax: 904-819-6700 | |
Dr. Daniel J Gassert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6108 Fax: 904-823-9613 |