Dr Todd A Perla, MD | |
194 Sw Wall Terrace, Origins Family Medicine And Weight Loss, Lake City, FL 32025 | |
(386) 719-9227 | |
Not Available |
Full Name | Dr Todd A Perla |
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Gender | Male |
Speciality | Family Medicine |
Location | 194 Sw Wall Terrace, Lake 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 |
---|---|---|---|
1235146408 | NPI | - | NPPES |
272819200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME65271 (Florida) | Primary |
Entity Name | Solantic/south Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Entity Name | Hma-solantic Joint Venture Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
Entity Name | Shands-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
Entity Name | Origins Family Medical & Weight Loss Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962835306 PECOS PAC ID: 4688808520 Enrollment ID: O20131220001112 |
Entity Name | Cassidy Health And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184203721 PECOS PAC ID: 5496163230 Enrollment ID: O20210416000462 |
Mailing Address | Practice Location Address |
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Dr Todd A Perla, MD 254 Nw Lake Valley Ter, 254 Nw Lake Valley Terrace, Lake City, FL 32055-8523 Ph: (386) 754-9515 | Dr Todd A Perla, MD 194 Sw Wall Terrace, Origins Family Medicine And Weight Loss, Lake City, FL 32025 Ph: (386) 719-9227 |
Dr. Rafael Angel Gonzalez Castro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6352 | |
Todd A Fife, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 Fax: 386-758-6140 | |
Dr. Richard L Wright Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Sw Stonegate Ter Ste 101, Lake City, FL 32024 Phone: 386-755-0421 Fax: 386-487-1234 | |
Dr. John M Caroline, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7395 | |
Dr. Juan Ramon Santiagocolon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7375 | |
Dr. Robert E Bell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-719-3622 | |
Dr. Harish Ram Kotipoyina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000 |