| Selena Vimonlath Soviravong, MD | |
|
1854 Oak Grove Blvd, Lutz, FL 33559-8605 | |
| (813) 948-6133 | |
| (813) 948-3460 |
| Full Name | Selena Vimonlath Soviravong |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1854 Oak Grove Blvd, Lutz, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932737251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME162216 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Selena Vimonlath Soviravong, MD 720 Brooker Creek Blvd Ste 215, Oldsmar, FL 34677-2937 Ph: (813) 854-2003 | Selena Vimonlath Soviravong, MD 1854 Oak Grove Blvd, Lutz, FL 33559-8605 Ph: (813) 948-6133 |
Sonia Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23026 State Road 54, Lutz, FL 33549 Phone: 813-751-3131 | |
Saumeel Rashmikant Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 | |
Dr. Payal Pritesh Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18928 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 | |
Dr. Neil Hans Surti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24630 State Road 54, Building 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 | |
Dr. Frances Morales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24630 State Road 54, Bldg. 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 | |
Kristina Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 | |
Jamie A Mallah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4683 Van Dyke Rd, Lutz, FL 33558 Phone: 813-968-7171 Fax: 813-968-7282 |