| Deekshita Damidi, MD | |
|
700 3rd St Ste 102, Neptune Beach, FL 32266-5082 | |
| (904) 246-7520 | |
| (904) 246-7527 |
| Full Name | Deekshita Damidi |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 700 3rd St Ste 102, Neptune Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598261984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME149320 (Florida) | Primary |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Entity Name | Caremax Clinic 711 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609359249 PECOS PAC ID: 3577806173 Enrollment ID: O20190523000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Deekshita Damidi, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Deekshita Damidi, MD 700 3rd St Ste 102, Neptune Beach, FL 32266-5082 Ph: (904) 246-7520 |
Anthony L Underwood, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 3rd St, Suite B, Neptune Beach, FL 32266 Phone: 904-270-0767 Fax: 904-694-0058 | |
Dale R Fralicker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 3rd St, Suite B, Neptune Beach, FL 32266 Phone: 904-270-0767 Fax: 904-694-0058 | |
Dr. Duke Hill Scott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1606 Arrowhead Trl, Neptune Beach, FL 32266 Phone: 904-246-0750 Fax: 904-246-4947 | |
Dr. Michael H Maher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1807 Penman Rd, Neptune Beach, FL 32266 Phone: 904-200-2580 Fax: 904-200-2580 | |
John Eric Haas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 410 Atlantic Blvd, Neptune Beach, FL 32266 Phone: 904-241-0117 Fax: 904-241-0303 | |
Dr. Anna Orman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 3rd St, Neptune Beach, FL 32266 Phone: 904-202-4243 Fax: 904-202-4639 |