| Samuel J Fern, DO | |
|
900 Beach Blvd, Credentialing Department, Jacksonville Beach, FL 32250-4368 | |
| (904) 249-0335 | |
| (904) 249-0347 |
| Full Name | Samuel J Fern |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 900 Beach Blvd, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437136074 | NPI | - | NPPES |
| 3704556-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6092 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J Fern, DO Po Box 44004, Jacksonville, FL 32231-4004 Ph: (904) 202-1032 | Samuel J Fern, DO 900 Beach Blvd, Credentialing Department, Jacksonville Beach, FL 32250-4368 Ph: (904) 249-0335 |
Marylin Palackel James, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 3rd St South Suite 3004 B, Jacksonville Beach, FL 32250 Phone: 904-902-0150 | |
Dr. Edward Paul Secunda, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 14011 Beach Blvd, Suite 120, Jacksonville Beach, FL 32250 Phone: 904-223-6400 Fax: 904-223-6420 | |
Tony Villena, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Beach Blvd, Credentialing Department, Jacksonville Beach, FL 32250 Phone: 904-249-0335 Fax: 904-249-0042 | |
Dr. Vaughn Eric Dobalian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 228 6th Ave S, Jacksonville Beach, FL 32250 Phone: 904-247-1911 Fax: 904-247-9736 | |
Dr. Howard J Green, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14444 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-367-2277 Fax: 904-421-3788 | |
Dr. Solange Moya Burnette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-396-0000 Fax: 904-396-5206 | |
Dr. Frederic Frank Porcase Ii, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14011 Beach Blvd, Suite 120, Jacksonville Beach, FL 32250 Phone: 904-223-6400 Fax: 904-223-6420 |