Ralph Badanowski, MD | |
1 Shircliff Way, Jacksonville, FL 32204-4748 | |
(904) 308-7300 | |
(904) 346-0113 |
Full Name | Ralph Badanowski |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1 Shircliff Way, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205894508 | NPI | - | NPPES |
010016726 | Other | FL | RRMCR |
069690100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME0037078 (Florida) | Primary |
Entity Name | Emergency Medical Specialists Of Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
Entity Name | St Vincent's Full Service Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
Mailing Address | Practice Location Address |
---|---|
Ralph Badanowski, MD Po Box 863026, Orlando, FL 32886-3026 Ph: (800) 288-8325 | Ralph Badanowski, MD 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |
Dr. Veronica Carranza Rios, M.D. General Practice Medicare: Medicare Enrolled Practice Location: Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214 Phone: 904-542-7345 | |
Dr. Nicole Marie Thatcher, MD General Practice Medicare: Medicare Enrolled Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-303-3841 | |
Nakish Danielle Grant, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111 | |
Aaron David Dewitt, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 6900 Southpoint Dr N, Jacksonville, FL 32216 Phone: 904-470-6900 | |
Robert Prior Jamplis, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7300 | |
Dr. Donna B Treesh, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 13121 Atlantic Blvd Ste 100, Jacksonville, FL 32225 Phone: 904-221-2232 Fax: 904-244-3455 | |
Taylor Hornung, General Practice Medicare: Medicare Enrolled Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7963 Fax: 904-542-7394 |