Dr Rodrigo Bleza Mateo, MD | |
311 North Clyde Morris Blvd., Suite 480, Halifax Center For Transplant Services, Daytona Beach, FL 32114-2766 | |
(386) 947-4650 | |
(386) 947-4690 |
Full Name | Dr Rodrigo Bleza Mateo |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 311 North Clyde Morris Blvd., Suite 480, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306870704 | NPI | - | NPPES |
001299700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME104900 (Florida) | Primary |
Entity Name | Halifax Healthcare Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Mailing Address | Practice Location Address |
---|---|
Dr Rodrigo Bleza Mateo, MD 311 North Clyde Morris Blvd., Suite 480, Halifax Center For Transplant Services, Daytona Beach, FL 32114-2766 Ph: (386) 947-4650 | Dr Rodrigo Bleza Mateo, MD 311 North Clyde Morris Blvd., Suite 480, Halifax Center For Transplant Services, Daytona Beach, FL 32114-2766 Ph: (386) 947-4650 |
Dr. Christian L Birkedal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117 Phone: 386-231-3530 Fax: 386-231-3534 | |
Joseph C Sinex, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd, #100, Daytona Beach, FL 32114 Phone: 386-238-3295 | |
Dr. Tomasz Kozlowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114 Phone: 386-425-4650 Fax: 386-425-7510 | |
Michael A Fabian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Emily Oswald, APRN Surgery Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd Ste 500, Daytona Beach, FL 32114 Phone: 386-425-2639 | |
Dr. Andrew William Gamenthaler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Dr. Gary A Wilson, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-947-4650 Fax: 386-947-4690 |