Dr Matthew Carroll Minnette, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 627-9350 | |
(352) 273-9054 |
Full Name | Dr Matthew Carroll Minnette |
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Gender | Male |
Speciality | Pediatrics |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114486115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036160247 (Illinois) | Secondary |
208000000X | Pediatrics | 2022004027 (Missouri) | Secondary |
208000000X | Pediatrics | ME168009 (Florida) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Mailing Address | Practice Location Address |
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Dr Matthew Carroll Minnette, MD Po Box 100296, Gainesville, FL 32610-0296 Ph: (352) 627-9350 | Dr Matthew Carroll Minnette, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 627-9350 |
Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250 | |
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159 | |
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506 | |
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001 | |
Neel Kamal Singh, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011 | |
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802 | |
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260 |