Mary Cross, DO | |
6002 Berryhill Rd, Milton, FL 32570-5062 | |
(706) 575-4800 | |
Not Available |
Full Name | Mary Cross |
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Gender | Female |
Speciality | Pediatrics |
Location | 6002 Berryhill Rd, Milton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366858672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | UO3905 (Florida) | Secondary |
208000000X | Pediatrics | OS14786 (Florida) | Primary |
Entity Name | Santa Rosa Hma Physician Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447365366 PECOS PAC ID: 1658478532 Enrollment ID: O20070823000556 |
Mailing Address | Practice Location Address |
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Mary Cross, DO 6002 Berryhill Rd, Milton, FL 32570-5062 Ph: () - | Mary Cross, DO 6002 Berryhill Rd, Milton, FL 32570-5062 Ph: (706) 575-4800 |
Dr. John Arthur Vanostenbridge, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5834 Berryhill Rd, Milton, FL 32570 Phone: 850-623-5437 Fax: 850-626-7803 | |
Dr. Luis A Ghiglino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5962 Berryhill Rd, Milton, FL 32570 Phone: 850-983-3700 Fax: 850-983-0970 | |
Dr. Lelia F Montes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5962 Berryhill Rd, Milton, FL 32570 Phone: 850-623-0124 Fax: 850-626-9110 |