Frederick John Wehle Jr, MD | |
23 Mack Bayou Loop Ste 200, Santa Rosa Beach, FL 32459-2606 | |
(850) 278-3920 | |
(850) 278-3919 |
Full Name | Frederick John Wehle Jr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 23 Mack Bayou Loop Ste 200, Santa Rosa Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962470534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME55046 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
---|---|
Frederick John Wehle Jr, MD 23 Mack Bayou Loop Ste 200, Santa Rosa Beach, FL 32459-2606 Ph: (850) 278-3920 | Frederick John Wehle Jr, MD 23 Mack Bayou Loop Ste 200, Santa Rosa Beach, FL 32459-2606 Ph: (850) 278-3920 |
Jennifer Sloboda, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 436 Carson Oaks Ln, Santa Rosa Beach, FL 32459 Phone: 630-337-0990 | |
Dr. Tiffany Laine Vroon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 | |
Rodney Dixon Dorand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Blue Mountain Rd, Santa Rosa Beach, FL 32459 Phone: 334-399-9553 Fax: 850-267-0359 | |
Luis Fernando Gomez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 | |
Crystal C Tidwell, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Ste 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 Fax: 850-278-3919 | |
Dr. Susanna O Buchholz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-659-6556 | |
Dr. Prabha Swamy Weiss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459 Phone: 850-278-3136 Fax: 850-278-3104 |