Mary Tang, MD | |
200 Avenue F Ne, Ufjp Emergency Department, Winter Haven, FL 33881-4131 | |
(863) 293-1861 | |
Not Available |
Full Name | Mary Tang |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 200 Avenue F Ne, Winter Haven, 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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1629129531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | ME101952 (Florida) | Primary |
Entity Name | Emergency Medical Associates Of Tampa Bay Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
Entity Name | Observation Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
Mailing Address | Practice Location Address |
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Mary Tang, MD Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: () - | Mary Tang, MD 200 Avenue F Ne, Ufjp Emergency Department, Winter Haven, FL 33881-4131 Ph: (863) 293-1861 |
Nathaniel Allen Jr., PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 1st St S, Winter Haven, FL 33880 Phone: 863-299-8485 Fax: 863-293-8450 | |
Dr. Frederick Christopher Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Carlton Carmichael Hamilton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 863-292-4103 | |
Dr. Jerry Winfield Gibbs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-292-4202 Fax: 863-292-4103 | |
Mr. Fouad Sam Moursi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 866-234-8534 | |
Housam Moursi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. H. Gerlach James Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Winter Haven Hospital, 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |