| Charles Naseef Azan, MD | |
|
4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | |
| (407) 975-0412 | |
| (407) 975-0407 |
| Full Name | Charles Naseef Azan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4200 Sun N Lake Blvd, Sebring, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528079456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | ME45616 (Florida) | Secondary |
| 208000000X | Pediatrics | ME45616 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Naseef Azan, MD 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 Ph: (407) 975-0412 | Charles Naseef Azan, MD 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 Ph: (407) 975-0412 |
Dr. Kevin Patrick Bryan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4200 Sun N Lake Blvd, Sebring, FL 33872 Phone: 407-975-0412 Fax: 407-975-0407 | |
Dr. Mercy L Seralde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 Medical Way, Suite 101, Sebring, FL 33870 Phone: 863-382-0566 Fax: 863-471-9340 | |
Ms. Cynthia K Powell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4200 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-402-3103 Fax: 863-382-1433 | |
Mrs. Raisa D Camilo, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4958 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-385-4711 Fax: 863-386-4301 | |
Dr. Jais Meera Emmanuel Valley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6325 Us Highway 27 N Ste 201, Sebring, FL 33870 Phone: 863-382-9600 | |
Praveen Krishnadas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 Medical Way, Suite 101, Sebring, FL 33870 Phone: 863-382-0770 Fax: 863-471-9968 | |
Dr. Navin D Deshpande, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7215 Us Highway 27 N, Sebring, FL 33870 Phone: 863-452-1818 Fax: 863-452-6544 |