Dr Shirley N Codada, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-4595 | |
(352) 265-0655 | |
(352) 265-1107 |
Full Name | Dr Shirley N Codada |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962466870 | NPI | - | NPPES |
49995 | Other | FL | BCBS |
106635800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME73373 (Florida) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | ME73373 (Florida) | Primary |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Haven Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407143316 PECOS PAC ID: 2365692373 Enrollment ID: O20121030000003 |
Mailing Address | Practice Location Address |
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Dr Shirley N Codada, MD Po Box 100277, Gainesville, FL 32610-0277 Ph: (352) 265-0655 | Dr Shirley N Codada, MD 1600 Sw Archer Rd, Gainesville, FL 32610-4595 Ph: (352) 265-0655 |
Dr. Sheetal Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 800-324-8387 | |
Dr. Talal Seoud, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9400 Fax: 352-627-4268 | |
Eric I Rosenberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0651 Fax: 352-265-0153 | |
Dr. Eric Padron, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0239 Fax: 352-338-9879 | |
Osman S Farooq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-559-5051 | |
Ilie Toma Barb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-264-2500 Fax: 352-416-0135 | |
Fernando Ortiz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-375-1212 Fax: 352-371-4650 |