Larissa Georgeon, MD, MPH | |
1648 Ne 163rd St, North Miami Beach, FL 33162-4731 | |
(305) 949-2000 | |
Not Available |
Full Name | Larissa Georgeon |
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Gender | Female |
Speciality | Family Medicine |
Location | 1648 Ne 163rd St, North Miami 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 |
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1396367074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MT220837 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | ME164098 (Florida) | Primary |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
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Larissa Georgeon, MD, MPH 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Larissa Georgeon, MD, MPH 1648 Ne 163rd St, North Miami Beach, FL 33162-4731 Ph: (305) 949-2000 |
Mark Weitman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1770 Ne Miami Gardens Dr, Unit 1, North Miami Beach, FL 33179 Phone: 305-949-4141 Fax: 305-949-8090 | |
Dr. Grace Ann Dwyer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 Ne 167th St, Suite102, North Miami Beach, FL 33162 Phone: 787-565-9489 Fax: 786-565-9619 | |
Audrea Olivia Vaughan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-651-1100 | |
Dr. Michele Balizer Scheck, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1486 Presidential Way, North Miami Beach, FL 33179 Phone: 305-790-3888 | |
Zafar Ms Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-651-1100 | |
John G. Padron, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1865 Ne 163rd St, North Miami Beach, FL 33162 Phone: 305-948-9958 Fax: 305-948-9518 | |
Dr. Enrique M Ciklik, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Nw 168th St Ste 301, North Miami Beach, FL 33169 Phone: 305-944-1122 Fax: 305-944-1133 |