| David Daniel Dieterich, DO | |
|
455 Pinellas St, Suite 400, Clearwater, FL 33756-3356 | |
| (727) 445-1991 | |
| (727) 445-1986 |
| Full Name | David Daniel Dieterich |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 455 Pinellas St, Clearwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083603591 | NPI | - | NPPES |
| 065988600 | Medicaid | FL | |
| 82318X | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 053669 (Florida) | Primary |
| Entity Name | Morton Plant Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528049962 PECOS PAC ID: 2163336777 Enrollment ID: O20040115000883 |
| Entity Name | Pinellas Ekg Interpreters Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013952977 PECOS PAC ID: 4385608066 Enrollment ID: O20041112000584 |
| Mailing Address | Practice Location Address |
|---|---|
| David Daniel Dieterich, DO 455 Pinellas St, Suite 400, Clearwater, FL 33756-3356 Ph: (727) 445-1992 | David Daniel Dieterich, DO 455 Pinellas St, Suite 400, Clearwater, FL 33756-3356 Ph: (727) 445-1991 |
Dr. Irma Alves, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7908 Fax: 727-462-7904 |
Dr. Mark Alan Whiting, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 400 Pinellas St, Suite 350, Clearwater, FL 33756 Phone: 727-462-3696 Fax: 813-635-2637 |
Huzaifa Hussain Hakim, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 855 S Highland Ave, Clearwater, FL 33756 Phone: 813-916-2348 |
Dr. Steven Charles Bowman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3251 N Mcmullen Booth Rd, Suite 303, Clearwater, FL 33761 Phone: 727-725-6110 Fax: 727-669-9742 |
Dr. Mahesh Amin, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 455 Pinellas St Ste 330, Clearwater, FL 33756 Phone: 727-724-8611 Fax: 727-724-0425 |
Dr. Sara Enid Cruz-luna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1243 S Myrtle Ave, Clearwater, FL 33756 Phone: 727-442-3126 Fax: 727-287-4559 |
Arian John Moshref, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18167 Us Highway 19 N Ste 100, Clearwater, FL 33764 Phone: 727-233-4177 |