Nicole Chantal De Paz, MD | |
6671 13th Ave N Ste 1d, St Petersburg, FL 33710-5411 | |
(727) 381-1147 | |
(727) 345-2489 |
Full Name | Nicole Chantal De Paz |
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Gender | Female |
Speciality | Pediatrics |
Location | 6671 13th Ave N Ste 1d, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710337696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME149199 (Florida) | Primary |
208000000X | Pediatrics | 267862 (Massachusetts) | Secondary |
Entity Name | Atrius Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
---|---|
Nicole Chantal De Paz, MD 4033 Tampa Rd Ste 101, Oldsmar, FL 34677-3224 Ph: (813) 854-2003 | Nicole Chantal De Paz, MD 6671 13th Ave N Ste 1d, St Petersburg, FL 33710-5411 Ph: (727) 381-1147 |
Dr. Stephen Rogers Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636 | |
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 | |
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444 | |
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285 | |
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176 |