Matthew S Mallard, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-5665 | |
(352) 273-8610 | |
Not Available |
Full Name | Matthew S Mallard |
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Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1669032082 | NPI | - | NPPES |
118706100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL82869 (South Carolina) | Secondary |
207L00000X | Anesthesiology | ME162398 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
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Matthew S Mallard, MD 701 Grove Rd Fl 3, Greenville, SC 29605-4295 Ph: (864) 455-1435 | Matthew S Mallard, MD 1600 Sw Archer Rd, Gainesville, FL 32610-5665 Ph: (352) 273-8610 |
Dr. William Brit Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
Kyndal Vanaernam, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Dr. Tessa Elisabeth Baumgardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 | |
Dr. Timothy Vincent Feldheim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612 | |
Spencer Moreland, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-7986 | |
Steffin Blaine Golden, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612 | |
Jeffrey David White, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 |