Dr Anthony O Udekwu, MD | |
1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | |
(904) 272-9041 | |
(904) 276-9992 |
Full Name | Dr Anthony O Udekwu |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 1887 Kingsley Ave, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912957853 | NPI | - | NPPES |
001091690 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | MD038648E (Pennsylvania) | Primary |
Entity Name | Memorial Family Practice Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
Mailing Address | Practice Location Address |
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Dr Anthony O Udekwu, MD 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 Ph: (904) 272-9041 | Dr Anthony O Udekwu, MD 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 Ph: (904) 272-9041 |
Joshua Mark Yeykal, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 | |
Noaman Syed Ali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1825 Kingsley Ave Ste 150, Orange Park, FL 32073 Phone: 904-264-5426 Fax: 904-264-5427 | |
Dr. Debbie A. Berlin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Michael Callander, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9235 | |
Dr. Michael S. Gilligan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Eric Ferguson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073 Phone: 904-276-2549 | |
Dr. Mark Blum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9223 |