Dr Tamara Ivelisse Guzman Rodriguez, MD | |
130 Ridge Center Dr, Davenport, FL 33837-6413 | |
(866) 234-8534 | |
Not Available |
Full Name | Dr Tamara Ivelisse Guzman Rodriguez |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 130 Ridge Center Dr, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063443612 | NPI | - | NPPES |
1063443612 | Medicaid | FL | |
ACN 448 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 15632 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN 448 (Florida) | Primary |
Entity Name | Bella Vista Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083636179 PECOS PAC ID: 6507831351 Enrollment ID: O20040826000750 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamara Ivelisse Guzman Rodriguez, MD 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Dr Tamara Ivelisse Guzman Rodriguez, MD 130 Ridge Center Dr, Davenport, FL 33837-6413 Ph: (866) 234-8534 |
Teodoro Medina, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Dr. Ricardo R Sanchez Maceira, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Dr. Reyna Isabel Lajara, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 127 Ridge Center Dr, Davenport, FL 33837 Phone: 863-421-7400 Fax: 863-421-7448 | |
Ladapo Shyngle, M.D., MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: 121 Webb Dr, Suite 100, Davenport, FL 33837 Phone: 863-422-0001 Fax: 863-422-0003 | |
Yamil Carlo Lopez, General Practice Medicare: Medicare Enrolled Practice Location: 2330 North Blvd W, Davenport, FL 33837 Phone: 407-931-0444 Fax: 407-962-4446 | |
Elisa B Gordon Perez Mena, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 101 Divine Dr Ste 1, Davenport, FL 33897 Phone: 863-256-3225 Fax: 844-388-6186 |