Dr Nela F Ballesteros Moyano, MD | |
1235 Providence Blvd Ste 7, Deltona, FL 32725-7363 | |
(386) 473-1940 | |
(844) 388-6186 |
Full Name | Dr Nela F Ballesteros Moyano |
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Gender | Female |
Speciality | General Practice |
Location | 1235 Providence Blvd Ste 7, Deltona, 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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1174026348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | ACN1184 (Florida) | Primary |
Entity Name | Florida Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
Mailing Address | Practice Location Address |
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Dr Nela F Ballesteros Moyano, MD 107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 Ph: (407) 310-3102 | Dr Nela F Ballesteros Moyano, MD 1235 Providence Blvd Ste 7, Deltona, FL 32725-7363 Ph: (386) 473-1940 |
Dr. Marilyn Llavona-suarez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 103, Deltona, FL 32725 Phone: 386-574-1423 Fax: 321-684-5212 | |
Dr. Leslie K Garcia Rivera, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1235 Providence Blvd Ste G, Deltona, FL 32725 Phone: 386-473-1940 Fax: 844-388-6186 | |
Dr. Juan C Bayolo, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1565 Saxon Blvd Ste 103, Deltona, FL 32725 Phone: 386-574-1423 Fax: 321-684-5212 | |
Dr. Gabriel Carlos Ortiz Rivera, General Practice Medicare: Medicare Enrolled Practice Location: 605 Courtland Blvd, Deltona, FL 32738 Phone: 386-320-9990 Fax: 407-732-6288 |