| Antonio Desean Lozada, | |
|
1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 | |
| (904) 276-2549 | |
| (904) 276-9235 |
| Full Name | Antonio Desean Lozada |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 14 Years |
| Location | 1887 Kingsley Ave Ste 1900, Orange Park, 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 |
|---|---|---|---|
| 1053677047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | 036145468 (Illinois) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | ME169115 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| Putnam Community Medical Center | Palatka, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Trauma Services Llc | 3971985938 | 76 |
| Entity Name | Florida Trauma Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Desean Lozada, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549 | Antonio Desean Lozada, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549 |
Joshua Mark Yeykal, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 | |
Noaman Syed Ali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1825 Kingsley Ave Ste 150, Orange Park, FL 32073 Phone: 904-264-5426 Fax: 904-264-5427 | |
Dr. Debbie A. Berlin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Dr. Michael S. Gilligan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Eric Ferguson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073 Phone: 904-276-2549 | |
Dr. Mark Blum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9223 |