Theodore Hanley, MD | |
10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 | |
(917) 821-5813 | |
Not Available |
Full Name | Theodore Hanley |
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Gender | Male |
Speciality | Anesthesiology |
Location | 10601 Gandy Blvd N Apt 4302, Saint Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235183559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | ME136477 (Florida) | Primary |
174400000X | Specialist | 187032 (New York) | Secondary |
Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255313169 PECOS PAC ID: 4587563408 Enrollment ID: O20040108000602 |
Entity Name | Sunshine State Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
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Theodore Hanley, MD 10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 Ph: (517) 787-6440 | Theodore Hanley, MD 10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 Ph: (917) 821-5813 |
Carlos Jose Munoz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-767-3679 | |
Dr. Stuart Lipman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 353 4th Ave S, Saint Petersburg, FL 33701 Phone: 727-560-1222 Fax: 206-600-5923 | |
Dr. Gregory Nicholas Kozlov, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 204 37th Ave N, Suite 125, Saint Petersburg, FL 33704 Phone: 727-331-2457 | |
Dr. Harshini Dhananjay, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6333 54th Ave N, Saint Petersburg, FL 33709 Phone: 727-548-6100 Fax: 727-497-2322 | |
Dr. Julio Alan Warren, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-322-6006 | |
Dennis Jude Woomer, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1750 52nd Ave N, Saint Petersburg, FL 33714 Phone: 727-687-4570 |