| Christine Petzing, MD | |
| 2675 Tampa Rd, Palm Harbor, FL 34684-3109 | |
| (727) 467-7423 | |
| Not Available | 
| Full Name | Christine Petzing | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 2675 Tampa Rd, Palm Harbor, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346348265 | NPI | - | NPPES | 
| 113122100 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-105731 (Illinois) | Primary | 
| Entity Name | Outer Banks Professional Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christine Petzing, MD 6310 Capital Dr, Lakewood Ranch, FL 34202-5013 Ph: (727) 467-7423 | Christine Petzing, MD 2675 Tampa Rd, Palm Harbor, FL 34684-3109 Ph: (727) 467-7423 | 
| Susan Baldi, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36440 Us 19n, Palm Harbor, FL 34684 Phone: 727-786-0696 Fax: 727-786-5596 | |
| Dr. Andres Amilcar Bonelli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36454 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-460-7049 Fax: 727-787-6221 | |
| Dr. Edward Salib, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684 Phone: 727-754-1984 Fax: 727-754-2868 | |
| Gregory E Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Woodlands Pkwy, Palm Harbor, FL 34685 Phone: 727-953-9041 Fax: 727-953-9043 | |
| Dr. Steven E Arnold, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684 Phone: 727-787-5577 | |
| Dr. Julie Braddy-roberts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Tampa Rd Ste 102, Palm Harbor, FL 34684 Phone: 727-781-3150 Fax: 813-635-2636 | |
| Johanna D'urso Taldone, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2835 Alt 19, Palm Harbor, FL 34683 Phone: 727-786-7906 Fax: 727-784-7888 |