Dr Sang-woo Pak, MD | |
807 Childrens Way, Jacksonville, FL 32207-8426 | |
(904) 697-3600 | |
(904) 697-3927 |
Full Name | Dr Sang-woo Pak |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 807 Childrens Way, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184808461 | NPI | - | NPPES |
017809300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME128657 (Florida) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | ME128657 (Florida) | Primary |
208600000X | Surgery | 244471 (New York) | Secondary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
---|---|
Dr Sang-woo Pak, MD Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Sang-woo Pak, MD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 697-3600 |
Timothy Edward Fee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4147 Southpoint Dr E, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-332-9137 | |
Meredith Tinti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3627 University Blvd S Ste 500, Jacksonville, FL 32216 Phone: 904-596-0760 | |
Dr. George B Filosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 500, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-7433 | |
Dr. Michael Anthony Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 215-707-3133 Fax: 215-707-3945 | |
Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675 | |
Dr. Andrew James Kerwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Ufjp Trauma Surgery, Jacksonville, FL 32209 Phone: 904-244-6631 Fax: 904-244-4687 | |
Dr. Marc George Mesleh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |