Emmanuel Pardo, MD | |
620 10th St N Ste 3c, St Petersburg, FL 33705-1407 | |
(727) 824-8325 | |
(727) 824-8347 |
Full Name | Emmanuel Pardo |
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Gender | Male |
Speciality | Internal Medicine |
Location | 620 10th St N Ste 3c, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104387331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME167516 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
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Emmanuel Pardo, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Emmanuel Pardo, MD 620 10th St N Ste 3c, St Petersburg, FL 33705-1407 Ph: (727) 824-8325 |
Ronald S. Kline, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2150 Pelham Rd N, St Petersburg, FL 33710 Phone: 727-345-0001 | |
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 |