Mina Banoub, MD | |
1900 Don Wickham Dr, Clermont, FL 34711-1979 | |
(352) 536-8840 | |
(352) 536-8841 |
Full Name | Mina Banoub |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 7 Years |
Location | 1900 Don Wickham Dr, Clermont, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235624974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 25MA11135000 (New Jersey) | Secondary |
207R00000X | Internal Medicine | ME158439 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Adventhealth Lake Wales | Lake wales, FL | Hospital |
Adventhealth Heart Of Florida | Davenport, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ridgewood Physician Services, Llc | 0446594105 | 36 |
Lake Wales Physician Services, Llc | 8426390964 | 27 |
Orlando Health Medical Group Inc | 9537059084 | 1478 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Ridgewood Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295216034 PECOS PAC ID: 0446594105 Enrollment ID: O20181206001200 |
Entity Name | Lake Wales Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025 |
Mailing Address | Practice Location Address |
---|---|
Mina Banoub, MD 1900 Don Wickham Dr, Clermont, FL 34711-1979 Ph: (352) 536-8840 | Mina Banoub, MD 1900 Don Wickham Dr, Clermont, FL 34711-1979 Ph: (352) 536-8840 |
Dr. April Louise Oxford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 | |
Rupinder Preet Kaur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 | |
Sung Woong Park, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 525-368-8303 Fax: 352-236-8841 | |
Dr. Alejandro A Victoria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 Hatteras Avenue, Suite 100, Clermont, FL 34711 Phone: 352-242-0676 Fax: 352-242-1335 | |
Dr. Gopal R. Kunta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2737 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-242-1366 | |
Dr. Kerry-anne Sherie Machado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 | |
Mitchell Milstein, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 |