Jose Tavarez, MD | |
8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202-4111 | |
(941) 366-3000 | |
(941) 366-3002 |
Full Name | Jose Tavarez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 8430 Enterprise Cir Ste 130, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396083630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 22828 (Mississippi) | Secondary |
208000000X | Pediatrics | ME130063 (Florida) | Primary |
Entity Name | Smh Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
Mailing Address | Practice Location Address |
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Jose Tavarez, MD Po Box 863407, Orlando, FL 32886-3407 Ph: (941) 917-2600 | Jose Tavarez, MD 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202-4111 Ph: (941) 366-3000 |
Wendy Beth Hurwitz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085 | |
Deirdra Miguel Myers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002 | |
Dr. Rene A Sueiro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085 | |
Dr. Lisa Catherine Wittmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085 | |
Ms. Jennifer Briana Scheer, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002 | |
Robert John Shamsey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002 |