Mrs Mary Alice-sparks Lane, MD | |
1000 Waterman Way, Tavares, FL 32778-5266 | |
(352) 742-3578 | |
Not Available |
Full Name | Mrs Mary Alice-sparks Lane |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1000 Waterman Way, Tavares, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922325794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME106438 (Florida) | Secondary |
208M00000X | Hospitalist | ME106438 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Waterman | Tavares, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Hospital Healthcare Partners, Inc | 7012266836 | 269 |
Entity Name | Central Florida Hospitalist Partners Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558381921 PECOS PAC ID: 5799689931 Enrollment ID: O20031120000518 |
Entity Name | Florida Hospital Healthcare Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Alice-sparks Lane, MD 1741 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 742-3578 | Mrs Mary Alice-sparks Lane, MD 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (352) 742-3578 |
Dr. Shaik Ejazuddin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8836 | |
Sameh Nazeeh Adly Mohareb, MD, M.B.,BCH. Hospitalist Medicare: Medicare Enrolled Practice Location: 1825 Salk Ave, Tavares, FL 32778 Phone: 352-343-1158 | |
Jessica Nicole Mastrapa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 |