Nolan K Mott, DO | |
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
(407) 975-0410 | |
(407) 975-0407 |
Full Name | Nolan K Mott |
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Gender | Male |
Speciality | Pediatrics |
Location | 301 Memorial Medical Pkwy, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528314259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 273061 (New York) | Secondary |
208M00000X | Hospitalist | 273061 (New York) | Secondary |
208000000X | Pediatrics | OS11720 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Hospital Physician Services Of Florida Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
Mailing Address | Practice Location Address |
---|---|
Nolan K Mott, DO 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Nolan K Mott, DO 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (407) 975-0410 |
Dr. Jennifer Carbone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-234-3499 | |
Marilyn L Regis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0790 Fax: 386-274-0800 | |
Dr. William Lefkowitz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 407-303-2528 Fax: 407-303-2760 | |
Dr. Andrea Jennifer Thorpe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-947-3553 Fax: 386-239-6189 | |
Dr. Katarzyna I. Madejczyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-254-2285 Fax: 386-425-1304 | |
James Michael Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 Fax: 386-258-7677 | |
Erin Leigh Shumans, Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 407-975-0410 Fax: 407-975-0407 |