| Dr David Thomas Connolly, MD | |
|
7101 Park St, Seminole, FL 33777-4632 | |
| (727) 397-1559 | |
| (727) 391-0838 |
| Full Name | Dr David Thomas Connolly |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7101 Park St, Seminole, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902225402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1590 (Florida) | Primary |
| Entity Name | Orlando Family Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568563187 PECOS PAC ID: 0749226439 Enrollment ID: O20050705000200 |
| Entity Name | Trinity Medical Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225652878 PECOS PAC ID: 9234554643 Enrollment ID: O20200803000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Thomas Connolly, MD 6900 Tavistock Lakes Blvd Ste 300, Orlando, FL 32827-7592 Ph: (321) 332-6947 | Dr David Thomas Connolly, MD 7101 Park St, Seminole, FL 33777-4632 Ph: (727) 397-1559 |
Todd Frederick Clarkson, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 13020 Park Blvd, Seminole, FL 33776 Phone: 727-393-3404 Fax: 727-392-3663 | |
Frederick Wesley Clarkson, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Oakhurst Medical Clinic, 130 20 Park Blvd, Seminole, FL 33776 Phone: 727-393-3404 Fax: 727-393-4814 | |
Dr. Gary G Holland, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10875 Park Blvd, Ste A, Seminole, FL 33772 Phone: 727-292-2247 Fax: 877-328-1192 | |
Richard Charles Kidd, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 13020 Park Blvd, Oakhurst Medical Clinic, Seminole, FL 33776 Phone: 727-393-3404 Fax: 727-393-4814 |