| Dr Brian Michael Shaub, DO | |
|
14254 Martin Luther King Blvd, Dover, FL 33527-4414 | |
| (813) 349-7700 | |
| (813) 349-7761 |
| Full Name | Dr Brian Michael Shaub |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 14254 Martin Luther King Blvd, Dover, 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 |
|---|---|---|---|
| 1992817498 | NPI | - | NPPES |
| 266531000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8265 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suncoast Community Health Centers, Inc | 3870402548 | 27 |
| Entity Name | Suncoast Community Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Michael Shaub, DO 13110 Elk Mountain Dr, Riverview, FL 33579-7182 Ph: (813) 349-7568 | Dr Brian Michael Shaub, DO 14254 Martin Luther King Blvd, Dover, FL 33527-4414 Ph: (813) 349-7700 |
Dr. Saroja Medidi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 | |
Dr. Sylvia M. Santiago, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-938-6422 | |
Subhakararao Medidi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14254 State Road 574, Tom Lee Community Health Center, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 |