Dr Shanan Loe, MD | |
4203 Belfort Road, Suite 204, Jacksonville, FL 32216-1463 | |
(904) 296-5688 | |
(904) 296-5699 |
Full Name | Dr Shanan Loe |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4203 Belfort Road, 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 |
---|---|---|---|
1437125093 | NPI | - | NPPES |
788979252A | Medicaid | GA | |
2732653-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME93888 (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: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
Mailing Address | Practice Location Address |
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Dr Shanan Loe, MD 4203 Belfort Road, Suite 204, Jacksonville, FL 32216-1463 Ph: (904) 296-5688 | Dr Shanan Loe, MD 4203 Belfort Road, Suite 204, Jacksonville, FL 32216-1463 Ph: (904) 296-5688 |
Frank E Trogolo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-647-6946 Fax: 844-473-3117 | |
Fernando Miguel Fernandez, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-268-5300 Fax: 904-268-5040 | |
Kayla Bagwell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11945 San Jose Blvd, Jacksonville, FL 32223 Phone: 904-262-5333 | |
Dr. Judy Bowers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6850 | |
Dr. Joann G Acuna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1800, Jacksonville, FL 32207 Phone: 904-398-7684 Fax: 904-398-4998 | |
Dr. Autumn Gabrielle Prieto, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-383-1037 Fax: 904-244-4059 | |
Annette Laubscher, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Shircliff Way Ste 200, Jacksonville, FL 32204 Phone: 904-384-3699 Fax: 904-384-8529 |