Dr Martino Rosalva, MD | |
18550 Us Highway 441, Mount Dora, FL 32757-6751 | |
(352) 735-3755 | |
(352) 735-3151 |
Full Name | Dr Martino Rosalva |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 18550 Us Highway 441, Mount Dora, 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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1689924425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 18527 (Puerto Rico) | Secondary |
207Q00000X | Family Medicine | ME132709 (Florida) | Primary |
Entity Name | Physicians Of Central Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861421018 PECOS PAC ID: 5395712764 Enrollment ID: O20040914001352 |
Mailing Address | Practice Location Address |
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Dr Martino Rosalva, MD 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755 | Dr Martino Rosalva, MD 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755 |
Dr. Sam S Luk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17580 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-0608 | |
Sylvia Boloczko, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16860 Us Highway 441, Mount Dora, FL 32757 Phone: 352-432-8443 Fax: 844-388-6186 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3619 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-383-8222 | |
Dr. Ghulam Mustafa Anwar, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kimberly T Jackson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St, #200, Mount Dora, FL 32757 Phone: 352-735-8231 | |
Dr. Scott Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 North, Fl-19, Mount Dora, FL 32757 Phone: 239-245-1698 | |
Mr. Jerry Martin Alstott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 |