Lucas Augusto Heldt Manica, MD | |
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
(386) 231-3147 | |
(386) 231-3695 |
Full Name | Lucas Augusto Heldt Manica |
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Gender | Male |
Speciality | Anesthesiology |
Location | 301 Memorial Medical Pkwy, Daytona 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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1528696788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 69588 (Minnesota) | Secondary |
207R00000X | Internal Medicine | 30853 (Minnesota) | Secondary |
207L00000X | Anesthesiology | ME166558 (Florida) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
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Lucas Augusto Heldt Manica, MD Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Lucas Augusto Heldt Manica, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-3147 |
Diane F Lapham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1980 Lpga Blvd, Suite 210, Daytona Beach, FL 32117 Phone: 386-274-1744 Fax: 386-274-1644 | |
Sharif Al-ruzzeh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-6000 | |
Dr. Linda W. Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
David Schultz, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 | |
Daniela Holloway, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 385-255-8520 | |
Dr. Allen Edward Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 352-733-0485 | |
Richard Lipton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 |