| Dr Farid Nizarali Visram, MD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Dr Farid Nizarali Visram |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, 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 |
|---|---|---|---|
| 1134165707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME95308 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida South Tampa Hospital | Tampa, FL | Hospital |
| Lakeland Regional Medical Center | Lakeland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watson Clinic Llp | 1456258979 | 365 |
| Emergency Medicine Services Of Fl Llc | 8426413931 | 686 |
| Entity Name | Watson Clinic LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Farid Nizarali Visram, MD 3614 W Palmira Ave, Tampa, FL 33629-6906 Ph: Not Available | Dr Farid Nizarali Visram, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 |
Jared Mclaughlin, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 |
Dr. Adalberto Alfonso, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1359 Fax: 863-284-1621 |
Dr. Colton Austin Faza, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3030 Harden Blvd, Lakeland, FL 33803 Phone: 863-687-1250 |
Dr. James K Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033 |
Dr. Hal Escowitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1132 Fax: 863-687-1439 |
Dr. Jeanne-marie Fanelli, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1132 Fax: 863-687-1439 |
Haley Watsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |