| Dr Caroline Clark Defossez, DO | |
|
Po Box 917770, Orlando, FL 32891-0001 | |
| (813) 821-8038 | |
| Not Available |
| Full Name | Dr Caroline Clark Defossez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Po Box 917770, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730829227 | NPI | - | NPPES |
| UABCX | Other | FL | BCBS |
| 127267800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS22018 (Florida) | Primary |
| Entity Name | University Medical Service Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
| Entity Name | Pediatric Physician Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caroline Clark Defossez, DO Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Dr Caroline Clark Defossez, DO Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 |
Dr. Lynn Christine Palmeri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-2528 Fax: 407-303-2760 |
Darlene Marie Eckert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14065 Town Loop Blvd, Suite 300, Orlando, FL 32837 Phone: 407-240-5554 Fax: 407-240-5543 |
Sunita A Patil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-843-3220 Fax: 321-843-3210 |
Dr. Barbara J Gans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 N Mills Ave, Orlando, FL 32803 Phone: 407-841-7290 Fax: 407-636-7800 |
Adalberto Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-4005 Fax: 407-650-7124 |
Dr. Lisa Santos Spector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924 |
Mary Farrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-5104 Fax: 321-841-6871 |