| Dr Abdul A Qazizada, MD | |
|
1689 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4817 | |
| (904) 269-1366 | |
| Not Available |
| Full Name | Dr Abdul A Qazizada |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 50 Years |
| Location | 1689 Eagle Harbor Pkwy Ste A, Fleming Island, 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 |
|---|---|---|---|
| 1124044672 | NPI | - | NPPES |
| ME94587 | Other | FL | MEDICAL LICENSE |
| 53107 | Other | FL | BCBS FL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94587 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Services Pa | 1254238579 | 92 |
| Clay Primary And Family Care Llc | 0840196176 | 5 |
| Entity Name | Clay Primary & Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730186792 PECOS PAC ID: 0840196176 Enrollment ID: O20031209000287 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdul A Qazizada, MD 330 Corporate Way Ste 200, Orange Park, FL 32073-6214 Ph: (904) 282-6331 | Dr Abdul A Qazizada, MD 1689 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4817 Ph: (904) 269-1366 |
Harold Dale Boyd, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1747 Baptist Clay Rd Ste 340, Credentialing Department, Fleming Island, FL 32003 Phone: 904-264-4405 Fax: 904-391-5380 | |
Dr. Ali Reza Afshar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Dr. Michael Wayne Schriver Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 200, Fleming Island, FL 32003 Phone: 904-264-6404 Fax: 904-264-6884 | |
Charles R Warren, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Amy Christine Powell, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1689 Eagle Harbor Pkwy, Fleming Island, FL 32003 Phone: 904-269-1366 | |
Joe P Bhagratie, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1747 Baptist Clay Dr Ste 200, Fleming Island, FL 32003 Phone: 904-202-6683 Fax: 904-376-3062 |