| Docsthathelp | |
|
16703 Early Riser Ave Ste 287 Land O Lakes FL 34638-0192 | |
| (877) 362-5382 | |
| Not Available |
| Full Name | Docsthathelp |
|---|---|
| Speciality | Clinic/Center |
| Location | 16703 Early Riser Ave Ste 287, Land O Lakes, Florida |
| Authorized Official Name and Position | Gerald Anthony Mastaw (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7343895832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Docsthathelp 16703 Early Riser Ave Ste 287 Land O Lakes FL 34638-0192 Ph: (877) 362-5382 | Docsthathelp 16703 Early Riser Ave Ste 287 Land O Lakes FL 34638-0192 Ph: (877) 362-5382 |
| NPI Number | 1255036299 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 9032565536 |
|---|---|
| Medicare Enrollment ID | O20231019000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255036299 | NPI | - | NPPES |
| Provider Name | Gerald Mastaw |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316993454 PECOS PAC ID: 2567400112 Enrollment ID: I20110808000810 |
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