Larry Charles Deeb, MD | |
2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | |
(850) 431-5404 | |
Not Available |
Full Name | Larry Charles Deeb |
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Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 2633 Centennial Blvd Ste 100, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497741839 | NPI | - | NPPES |
00241018C | Medicaid | GA | |
039439400 | Medicaid | FL | |
37276 | Other | FL | BLUECROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | ME 36405 (Florida) | Primary |
Entity Name | Tallahassee Memorial Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790040160 PECOS PAC ID: 6103724778 Enrollment ID: O20120809000185 |
Mailing Address | Practice Location Address |
---|---|
Larry Charles Deeb, MD 2633 Centennial Blvd, Suite 100, Tallahassee, FL 32309-0585 Ph: (850) 877-7387 | Larry Charles Deeb, MD 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 Ph: (850) 431-5404 |
Dr. Laura Ongiri Howard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Charles Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1205 Marion Ave, Tallahassee, FL 32303 Phone: 850-681-3887 Fax: 850-681-0569 | |
Robert O. Middlemas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5714 Fax: 850-431-6403 | |
Dr. Maci Mcdermott, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 3606 Maclay Blvd, Ste 102, Tallahassee, FL 32312 Phone: 850-877-1162 Fax: 850-671-5009 | |
Dr. Lionel Anthony Henry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1638 N Plaza Dr, Tallahassee, FL 32308 Phone: 850-878-5147 Fax: 850-942-9844 | |
Dr. Nancy M. Wright, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1804 Miccosukee Commons Dr, Suite 210, Tallahassee, FL 32308 Phone: 850-656-3361 Fax: 850-656-6870 | |
Ms. Meena A Shahane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-1802 Fax: 850-644-4251 |