Neema A Fuller, MD | |
133 Benmore Dr, Suite 200, Winter Park, FL 32792-4111 | |
(407) 646-7070 | |
(407) 646-7747 |
Full Name | Neema A Fuller |
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Gender | Female |
Speciality | Family Medicine |
Location | 133 Benmore Dr, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356387187 | NPI | - | NPPES |
250867200 | Medicaid | FL | |
09019 | Other | FL | BCBS |
P00072466 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME69383 (Florida) | Primary |
207Q00000X | Family Medicine | C54745 (California) | Secondary |
Entity Name | Adventist Health System-sunbelt Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780777391 PECOS PAC ID: 4082602214 Enrollment ID: O20040505000557 |
Mailing Address | Practice Location Address |
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Neema A Fuller, MD 133 Benmore Dr, Suite 200, Winter Park, FL 32792-4111 Ph: (407) 646-7070 | Neema A Fuller, MD 133 Benmore Dr, Suite 200, Winter Park, FL 32792-4111 Ph: (407) 646-7070 |
Trista F Hughes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 200, Winter Park, FL 32792 Phone: 407-646-7070 Fax: 407-646-7747 | |
Dr. Morteza Mashkouri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 N Lakemont Ave, Suite 101, Winter Park, FL 32792 Phone: 407-647-6070 Fax: 407-647-6440 | |
Dr. Robert W Rowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4122 Metric Dr Ste 800, Winter Park, FL 32792 Phone: 407-645-2577 | |
Dr. Tiffany Smith-sutton, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 133 Benmore Dr Ste 200, Winter Park, FL 32792 Phone: 407-646-7070 | |
Dr. Ernestine Miller Lee, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 200, Winter Park, FL 32792 Phone: 407-646-7757 | |
Clea Jerrilee Moore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 200, Winter Park, FL 32792 Phone: 407-646-7070 | |
Max S Watzman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Casa Aloma Way, Winter Park, FL 32792 Phone: 407-678-5554 Fax: 407-678-9972 |