John W Robertson, MD | |
4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | |
(407) 833-9195 | |
(407) 833-9308 |
Full Name | John W Robertson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4106 W Lake Mary Blvd, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285692673 | NPI | - | NPPES |
066451100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME37713 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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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 |
---|---|
John W Robertson, MD 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 Ph: (407) 833-9195 | John W Robertson, MD 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 Ph: (407) 833-9195 |
Dr. Robin L Rahm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-829-2020 Fax: 407-829-2098 | |
William L Huether Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308 | |
Kasia Osadzinska, MD Surgery Medicare: Medicare Enrolled Practice Location: 402 E Springtree Way, Lake Mary, FL 32746 Phone: 850-322-2706 | |
Dr. Nathan Christopher Deangelis, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308 | |
Sriram Rangarajan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-422-3790 Fax: 407-425-4358 | |
Seong Gon Bae, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746 Phone: 407-833-9195 |