Jibril Dixon Skaden, MD | |
855 E Plant St Ste 100, Winter Garden, FL 34787-3160 | |
(407) 287-6363 | |
(844) 388-6186 |
Full Name | Jibril Dixon Skaden |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 855 E Plant St Ste 100, Winter Garden, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902281025 | NPI | - | NPPES |
023627300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME133396 (Florida) | Primary |
Entity Name | North Brevard Medical Support Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
Entity Name | Florida Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
Mailing Address | Practice Location Address |
---|---|
Jibril Dixon Skaden, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Jibril Dixon Skaden, MD 855 E Plant St Ste 100, Winter Garden, FL 34787-3160 Ph: (407) 287-6363 |
Dr. Aleydis Rivera Onitiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13275 W Colonial Dr, Winter Garden, FL 34787 Phone: 407-905-8827 Fax: 407-654-4079 | |
Dr. William Bradly Schurr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3311 Daniels Rd Ste 104, Winter Garden, FL 34787 Phone: 407-743-0351 Fax: 844-388-6186 | |
Ms. Helene Black, RN, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5730 Hamlin Groves Trl Ste 164, Winter Garden, FL 34787 Phone: 407-347-7052 | |
Tanja Nazzal Wysocki, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Fowler Grove Blvd, Winter Garden, FL 34787 Phone: 407-368-9527 | |
Dr. Nagui N Khouzam, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 54 E Plant St, Winter Garden, FL 34787 Phone: 407-656-4549 Fax: 407-656-3222 | |
Amanda Nadeau, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 Phone: 407-614-0528 | |
Dr. Robert Paul Olson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17000 Porter Rd Ste 211, Winter Garden, FL 34787 Phone: 407-635-3210 Fax: 407-636-7825 |