Dr Sonja L Edmonds, MD | |
1507 W Reynolds St, Plant City, FL 33563-4702 | |
(813) 719-3716 | |
Not Available |
Full Name | Dr Sonja L Edmonds |
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Gender | Female |
Speciality | Pediatrics |
Location | 1507 W Reynolds St, Plant City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487679023 | NPI | - | NPPES |
5916622 | Medicaid | NC | |
377546202 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2010-01776 (North Carolina) | Secondary |
208000000X | Pediatrics | R4832 (Texas) | Secondary |
208000000X | Pediatrics | 159135 (Florida) | Primary |
Entity Name | Longview Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
Mailing Address | Practice Location Address |
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Dr Sonja L Edmonds, MD 2430 Brownwood Dr, Mulberry, FL 33860-5511 Ph: (248) 497-9944 | Dr Sonja L Edmonds, MD 1507 W Reynolds St, Plant City, FL 33563-4702 Ph: (813) 719-3716 |
Dr. John Sergio Aime, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 N Alexander St, Plant City, FL 33563 Phone: 813-752-9556 Fax: 813-754-5709 | |
Mr. Timothy B Williams, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 511 W Alexander St, Suite 2, Plant City, FL 33563 Phone: 813-659-9800 Fax: 813-659-9807 | |
Ms. Jennifer Eileen Buckley, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2911 Country Trails Dr, Plant City, FL 33567 Phone: 813-416-8822 | |
Dr. Lilliam Vazquez Maldonado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1608 W Oak Ave, Plant City, FL 33563 Phone: 813-418-6599 Fax: 863-419-9547 | |
Dr. Jose Trinidad Arroyo Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 502 N Mobley St, Plant City, FL 33563 Phone: 813-341-7450 Fax: 813-341-7461 | |
Dr. David E. Provencher Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 106 Southern Oak Drive, Plant City, FL 33563 Phone: 813-752-8595 Fax: 813-752-8088 | |
Sheena Ranade, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 E Baker St, Plant City, FL 33563 Phone: 813-653-6100 |