| Daniel Carvallo, MD | |
|
1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | |
| (954) 265-5324 | |
| Not Available |
| Full Name | Daniel Carvallo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1005 Joe Dimaggio Dr, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891745154 | NPI | - | NPPES |
| 200525100 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101249270 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | ME141630 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Carvallo, MD 7600 W Sunrise Blvd, Plantation, FL 33322-4115 Ph: (954) 939-5305 | Daniel Carvallo, MD 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 Ph: (954) 265-5324 |
Dr. Jose E Santoro, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5630 Hollywood Blvd, Hollywood, FL 33021 Phone: 757-672-4240 | |
Dr. Ilana Vendryes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Joe Dimaggio Dr, Hollywood, FL 33021 Phone: 954-265-5324 | |
Laline L. Rivero, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Washington St, Hollywood, FL 33021 Phone: 954-966-4500 | |
Dr. Vania Enid Fernandez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Oakwood Boulevard, Suite 195, Hollywood, FL 33020 Phone: 954-447-5206 Fax: 954-447-5259 | |
Dr. Gustavo Marcelo Gerenstein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Department Of Anesthesia, Hollywood, FL 33021 Phone: 954-265-5423 | |
Carole Taub, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1779 N University Dr Ste 101, Hollywood, FL 33024 Phone: 954-963-0888 Fax: 954-964-6431 | |
Dr. Andrew Goodrich, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 |