Marino Amaury Chanlatte-ithier, MD | |
483 N Semoran Blvd, Ste #103, Winter Park, FL 32792-3800 | |
(407) 680-2273 | |
(321) 274-0224 |
Full Name | Marino Amaury Chanlatte-ithier |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 483 N Semoran Blvd, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831489772 | NPI | - | NPPES |
009431000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 12726 (Puerto Rico) | Secondary |
207P00000X | Emergency Medicine | ME117097 (Florida) | Primary |
Entity Name | Halifax Healthcare Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Mailing Address | Practice Location Address |
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Marino Amaury Chanlatte-ithier, MD 483 N Semoran Blvd, Ste #103, Winter Park, FL 32792-3800 Ph: (407) 680-2273 | Marino Amaury Chanlatte-ithier, MD 483 N Semoran Blvd, Ste #103, Winter Park, FL 32792-3800 Ph: (407) 680-2273 |
Chastity Skinner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr, Suite 201, Winter Park, FL 32792 Phone: 407-644-7070 | |
Melinda Ann Naliboff, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 N Lakemont Ave, Winter Park, FL 32792 Phone: 407-646-7000 | |
Ms. Adonica Nakkeda Gray, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3331 Alena Court, Winter Park, FL 32792 Phone: 407-860-1501 | |
Lauren Bridge, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1371 Sunset Dr, Winter Park, FL 32789 Phone: 727-244-7765 | |
Thomas Richard Lemaster, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 N Lakemont Ave, Winter Park, FL 32792 Phone: 407-646-7321 | |
Sabiha S Siddiqui, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 133 Benmore Drive, Suite 200, Winter Park, FL 32792 Phone: 407-646-7070 Fax: 407-646-7757 | |
Dr. Hugo Romulo Basterrechea Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N Lakemont Ave, Winter Park, FL 32792 Phone: 407-646-7351 |