Teodoro Medina, MD | |
111 Webb Dr, Davenport, FL 33837-3962 | |
(863) 421-9447 | |
(863) 421-1806 |
Full Name | Teodoro Medina |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 24 Years |
Location | 111 Webb Dr, Davenport, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093852113 | NPI | - | NPPES |
TW49T | Other | FL | FL BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 14489 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN 793 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roy H Hinman Md Pa | 3173584174 | 9 |
Island Doctors Intrastate Llc | 5395161186 | 67 |
Entity Name | Roy H Hinman Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
Entity Name | Medical Home Alliance, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Entity Name | Island Doctors Intrastate Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
Mailing Address | Practice Location Address |
---|---|
Teodoro Medina, MD 6675 Westwood Blvd, Ste 475, Orlando, FL 32821 Ph: (407) 845-0330 | Teodoro Medina, MD 111 Webb Dr, Davenport, FL 33837-3962 Ph: (863) 421-9447 |
Dr. Jordan Martinez, MD General Practice Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Dr. Tamara Ivelisse Guzman Rodriguez, MD General Practice Medicare: Medicare Enrolled Practice Location: 130 Ridge Center Dr, Davenport, FL 33837 Phone: 866-234-8534 | |
Dr. Enrique Rafael Martinez-lugo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Mrs. Melissa Aime Rivera Santiago, MD General Practice Medicare: Medicare Enrolled Practice Location: 40230 U.s. 27 N, Ste 130, Davenport, FL 33837 Phone: 352-259-2159 | |
Dr. Luis Miguel Nunez Arroyo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2306 North Blvd W, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 | |
Dr. Ricardo R Sanchez Maceira, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 |