| Medical Associates Of Lake Nona, Llc | |
|
2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 | |
| (321) 795-6380 | |
| (321) 208-8717 |
| Full Name | Medical Associates Of Lake Nona, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2428 Clearlake Rd Bldg K, Cocoa, Florida |
| Authorized Official Name and Position | Stephen B Dodson (OWNER) |
| Authorized Official Contact | 3217956380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Lake Nona, Llc Po Box 560538 Rockledge FL 32956-0538 Ph: (321) 795-6380 | Medical Associates Of Lake Nona, Llc 2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 Ph: (321) 795-6380 |
| NPI Number | 1801651328 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 0244670040 |
|---|---|
| Medicare Enrollment ID | O20240426001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801651328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen B Dodson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215324512 PECOS PAC ID: 5597011023 Enrollment ID: I20180712003482 |
Ana Conde Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Clearlake Rd Bldg K, Cocoa, FL 32922 Phone: 321-368-3862 | |
Ricardo Antonio Henriques M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-6995 Fax: 321-633-1004 | |
Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Blake Ave, Bldg G, Cocoa, FL 32922 Phone: 321-633-6391 Fax: 321-633-6441 | |
Steward Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Point Dr, Cocoa, FL 32922 Phone: 615-467-4158 Fax: 615-467-1267 | |
Brevard Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Pineda St, Cocoa, FL 32922 Phone: 321-241-6800 Fax: 321-241-6888 | |
Miracle Pain Relief Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Willard St Ste C, Cocoa, FL 32922 Phone: 321-477-2273 | |
Rameshwar N Mathur Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6250 N Us 1, Cocoa, FL 32927 Phone: 321-631-6402 Fax: 321-633-7041 |