Victoria Lynn Riley, MD | |
1000 Waterman Way, Tavares, FL 32778-5266 | |
(407) 975-0412 | |
(407) 975-0413 |
Full Name | Victoria Lynn Riley |
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Gender | Female |
Speciality | Hospitalist |
Location | 1000 Waterman Way, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265441760 | NPI | - | NPPES |
268858100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME89026 (Florida) | Secondary |
208M00000X | Hospitalist | ME89026 (Florida) | Primary |
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 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Mailing Address | Practice Location Address |
---|---|
Victoria Lynn Riley, MD 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (407) 975-0412 | Victoria Lynn Riley, MD 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (407) 975-0412 |
Dr. Shaik Ejazuddin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8836 | |
Sameh Nazeeh Adly Mohareb, MD, M.B.,BCH. Hospitalist Medicare: Medicare Enrolled Practice Location: 1825 Salk Ave, Tavares, FL 32778 Phone: 352-343-1158 | |
Jessica Nicole Mastrapa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 |