| Dr Carla Nelson, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (808) 938-3083 | |
| Not Available |
| Full Name | Dr Carla Nelson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1000 Mar Walt Dr, Fort Walton 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 |
|---|---|---|---|
| 1902065279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME134387 (Florida) | Primary |
| 208000000X | Pediatrics | A101230 (California) | Secondary |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carla Nelson, MD File 73679 Box 60000, San Franisco, CA 94160-0000 Ph: (707) 464-1989 | Dr Carla Nelson, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (808) 938-3083 |
Aimee Pooneh Vafaie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 214-676-1531 | |
Dr. Douglas Winston Rigby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 | |
Dr. Lawrence P King, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 | |
Rachel L Couch, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-863-8203 | |
John Gerald Chiles, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Drive, Pediatrics, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-863-8113 | |
Dr. Jose A Luis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-863-8118 | |
Dr. Keith Michael Krist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 |