Mr Ivan A Mustafa, ARNP | |
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
(352) 323-5762 | |
Not Available |
Full Name | Mr Ivan A Mustafa |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 600 E Dixie Ave, Leesburg, 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 |
---|---|---|---|
1497727804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3098742 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Emergency Physicians Kang And Associates Md Inc | 0143113878 | 242 |
Wheatland Memorial Healthcare | 3375451370 | 12 |
Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
Mailing Address | Practice Location Address |
---|---|
Mr Ivan A Mustafa, ARNP 8490 Ne 150th Ave, Williston, FL 32696-3842 Ph: (407) 758-4104 | Mr Ivan A Mustafa, ARNP 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5762 |
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Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
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