Dr Rolando Dominguez Mustafa, MD | |
340 Nw Commerce Dr, Lake City, FL 32055-4709 | |
(386) 719-9000 | |
(386) 239-2354 |
Full Name | Dr Rolando Dominguez Mustafa |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 19 Years |
Location | 340 Nw Commerce Dr, Lake City, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508145251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | ME123013 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
Haven Hospice | Gainesville, FL | Hospice |
Lake City Medical Center | Lake city, FL | Hospital |
Solaris Healthcare Lake City | Lake city, FL | Nursing home |
Rehabilitation Center Of Lake City, The | Lake city, FL | Nursing home |
Avalon Healthcare Center | Lake city, FL | Nursing home |
Baya Pointe Nursing And Rehabilitation Center | Lake city, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rdm Professional Services Inc | 8820423502 | 2 |
Hospital Medicine Services Of Fl, Llc | 9234596743 | 435 |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Entity Name | Rdm Professional Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699322867 PECOS PAC ID: 8820423502 Enrollment ID: O20200128000568 |
Entity Name | Hospital Medicine Services Of Fl, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
Mailing Address | Practice Location Address |
---|---|
Dr Rolando Dominguez Mustafa, MD 437 Sw Rosemary Dr, Lake City, FL 32024-6715 Ph: (973) 610-6389 | Dr Rolando Dominguez Mustafa, MD 340 Nw Commerce Dr, Lake City, FL 32055-4709 Ph: (386) 719-9000 |
Bhavna Kapurji Thakor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000 | |
Dr. Tien-min Lee, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 |