Jasvant S Surani, MD | |
1050 37th Pl, Suite 104, Vero Beach, FL 32960-6501 | |
(772) 569-3212 | |
(772) 569-1435 |
Full Name | Jasvant S Surani |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1050 37th Pl, Vero 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 |
---|---|---|---|
1780644070 | NPI | - | NPPES |
000401250001 | Other | BLUE SHIELD | |
76E60 | Other | EMPIRE BC | |
00561486 | Medicaid | NY | |
040426006769 | Other | FIDELIS | |
26112 | Other | NY | MVP |
10002697 | Other | NY | CPHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1383591 (New York) | Secondary |
208000000X | Pediatrics | ME103068 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Mailing Address | Practice Location Address |
---|---|
Jasvant S Surani, MD 1050 37th Pl, Suite 104, Vero Beach, FL 32960-6501 Ph: (772) 569-3212 | Jasvant S Surani, MD 1050 37th Pl, Suite 104, Vero Beach, FL 32960-6501 Ph: (772) 569-3212 |
William David Caldwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1545 9th St Sw, Vero Beach, FL 32962 Phone: 772-257-8224 Fax: 772-213-3157 | |
Dr. Hemant P Gundavda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1545 9th St Sw, Vero Beach, FL 32962 Phone: 772-257-8224 Fax: 772-213-3157 | |
Lacey Vatland, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960 Phone: 772-562-5662 | |
Mrs. Jessica Lauren Delia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960 Phone: 772-562-5661 Fax: 772-562-5702 | |
Johanna Marisol Dejesus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 | |
Carmen E Rosado, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 | |
Lori Ann Bowers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 |