| David Sanjuan, MD | |
|
737 S Semoran Blvd, Orlando, FL 32807-3121 | |
| (321) 247-4960 | |
| (833) 963-0116 |
| Full Name | David Sanjuan |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 33 Years |
| Location | 737 S Semoran Blvd, Orlando, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306270509 | NPI | - | NPPES |
| ACN1047 | Other | FL | STATE LICENSE |
| PV866 | Other | FL | MEDICARE |
| 100951000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15442 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1047 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Francis Hospice | Titusville, FL | Hospice |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Parrish Medical Center | Titusville, FL | Hospital |
| Lake Eustis Healthcare And Rehabilitation Center | Eustis, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Primary Medicine, Llc | 7810333192 | 2 |
| Lowell F. Clark Md Pa | 7416918370 | 31 |
| Entity Name | Lowell F. Clark MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629278882 PECOS PAC ID: 7416918370 Enrollment ID: O20041023000143 |
| Entity Name | Advanced Internal Medicine Care, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811130339 PECOS PAC ID: 2466504386 Enrollment ID: O20090723000176 |
| Entity Name | Premier Medical Associates of Florida Healthcare, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
| Entity Name | Orlando Primary Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376233346 PECOS PAC ID: 7810333192 Enrollment ID: O20240308001238 |
| Mailing Address | Practice Location Address |
|---|---|
| David Sanjuan, MD 737 S Semoran Blvd, Orlando, FL 32807-3121 Ph: (321) 247-4960 | David Sanjuan, MD 737 S Semoran Blvd, Orlando, FL 32807-3121 Ph: (321) 247-4960 |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446 |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694 |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |
Dr. Felix N. Cotto, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 14807 E Colonial Dr Ste 112, Orlando, FL 32826 Phone: 407-250-6742 Fax: 407-203-6747 |
Yordanys Yera, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 1303 S Semoran Blvd, Orlando, FL 32807 Phone: 407-966-1799 Fax: 813-499-1499 |