Nasrin Datar Raina, MD | |
151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081-5136 | |
(904) 543-3677 | |
Not Available |
Full Name | Nasrin Datar Raina |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 151 Pine Lake Dr Ste B, Ponte Vedra, 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 |
---|---|---|---|
1003059270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME139724 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Solantic Of Jacksonville Llc | 1052409307 | 51 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Mailing Address | Practice Location Address |
---|---|
Nasrin Datar Raina, MD 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081-5136 Ph: (904) 543-3677 | Nasrin Datar Raina, MD 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081-5136 Ph: (904) 543-3677 |
Richard W. Townsend, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 351 Town Plaza Ave Ste 105a, Ponte Vedra, FL 32081 Phone: 904-819-3233 Fax: 904-456-0819 | |
Dr. Lara Diane Church, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-829-2850 | |
Elizabeth Anne Nelson Andersen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Hiro M Rahbar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-824-5333 | |
Donald W Tice, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Sarah Crane Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-390-7503 |