Stacy A Mcconkey, MD | |
15502 Stoneybrook West Pkwy, Suite 2-108, Winter Garden, FL 34787-4767 | |
(407) 656-0042 | |
(407) 656-0663 |
Full Name | Stacy A Mcconkey |
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Gender | Female |
Speciality | Pediatrics |
Location | 15502 Stoneybrook West Pkwy, Winter Garden, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710972492 | NPI | - | NPPES |
0251819 | Medicaid | IA | |
43666 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME 113754 (Florida) | Primary |
208000000X | Pediatrics | 32386 (Iowa) | Secondary |
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 |
Mailing Address | Practice Location Address |
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Stacy A Mcconkey, MD 15502 Stoneybrook West Pkwy, Suite 2-108, Winter Garden, FL 34787-4767 Ph: (407) 656-0042 | Stacy A Mcconkey, MD 15502 Stoneybrook West Pkwy, Suite 2-108, Winter Garden, FL 34787-4767 Ph: (407) 656-0042 |
Dr. Rhonda M Elton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Daniels Rd Ste A, Winter Garden, FL 34787 Phone: 407-554-3020 Fax: 407-554-3040 | |
Dr. Humberto Antonio Liriano-fanduiz Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5730 Hamlin Groves Trl Ste 164, Winter Garden, FL 34787 Phone: 407-347-7052 Fax: 321-282-6944 | |
Dr. Heather Leigh Elizondo Vega, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15502 Stoneybrook West Pkwy, Suite 2-108, Winter Garden, FL 34787 Phone: 210-287-7243 | |
Tiffany Rachal Tamse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15502 Stoneybrook West Pkwy Ste 2-108, Winter Garden, FL 34787 Phone: 407-656-0042 Fax: 407-656-0633 | |
Anita Vijay Moorjani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787 Phone: 407-656-0042 Fax: 407-656-0633 | |
Courtney Ayers Rozbitsky, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13275 W Colonial Dr, Winter Garden, FL 34787 Phone: 407-905-8827 Fax: 407-975-0413 |