Dr Randy M Kiriluk, MD | |
10609 Lucaya Dr, Tampa, FL 33647-3666 | |
(843) 742-9888 | |
(813) 973-0839 |
Full Name | Dr Randy M Kiriluk |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10609 Lucaya Dr, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639100191 | NPI | - | NPPES |
5909978 | Medicaid | NC | |
3882947 | Medicaid | TN | |
4101598 | Other | TN | BLUE CROSS |
4101599 | Other | TN | BLUE CROSS |
P00343209 | Other | TN | RAILROAD MEDICARE |
3882949 | Medicaid | TN | |
P00254455 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME111950 (Florida) | Secondary |
207Q00000X | Family Medicine | 85057 (Georgia) | Secondary |
207Q00000X | Family Medicine | 200801162 (North Carolina) | Primary |
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy M Kiriluk, MD 10609 Lucaya Dr, Tampa, FL 33647-3666 Ph: (843) 742-9888 | Dr Randy M Kiriluk, MD 10609 Lucaya Dr, Tampa, FL 33647-3666 Ph: (843) 742-9888 |
Leslie Kapp-jones, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-866-0930 | |
Rania Hamvas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Highwoods Preserve Pkwy, Tampa, FL 33647 Phone: 813-972-1030 Fax: 813-972-2224 | |
Caitlin Sarah Morgan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mr. Ramon Santiago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 N 56th St, Suite 101, Tampa, FL 33617 Phone: 813-988-1984 Fax: 813-988-0240 | |
Troy Michael Sterk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3910 Northdale Blvd Ste 206, Tampa, FL 33624 Phone: 813-264-7922 Fax: 813-264-6585 | |
Mr. Jose M Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 N Himes Ave, Tampa, FL 33607 Phone: 813-873-8071 Fax: 813-877-4031 | |
Dr. Paul James O Braonain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3250 Zemke Ave, Tampa, FL 33621 Phone: 813-827-9548 Fax: 203-327-2991 |