Melinda C Tenorio, MD | |
1859 Sw Newland Way, Lake City, FL 32025-6966 | |
(863) 758-0003 | |
(386) 755-4432 |
Full Name | Melinda C Tenorio |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1859 Sw Newland Way, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871826073 | NPI | - | NPPES |
009049700 | Medicaid | FL | |
ME115701 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME115765 (Florida) | Primary |
Entity Name | Emergency Pediatric Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194854034 PECOS PAC ID: 5991094609 Enrollment ID: O20160519001921 |
Mailing Address | Practice Location Address |
---|---|
Melinda C Tenorio, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (386) 758-0003 | Melinda C Tenorio, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (863) 758-0003 |
Amna Zarar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 | |
Ms. Sydney Taylor Borg, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 | |
Mr. Andres R Villar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 W Duval St, Lake City, FL 32055 Phone: 386-755-5044 Fax: 386-755-2518 | |
Dr. Maria D. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-4432 | |
Dr. Frederick Thomas Weber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 | |
Dr. Pamela G Santelices, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 | |
Brittany Lynn Bailey, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 |