| Dr Fernando Jose Arzola, MD | |
|
929 N Spring Garden Ave, Deland, FL 32720-0900 | |
| (386) 738-9144 | |
| (877) 245-1597 |
| Full Name | Dr Fernando Jose Arzola |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 29 Years |
| Location | 929 N Spring Garden Ave, Deland, 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 |
|---|---|---|---|
| 1225135346 | NPI | - | NPPES |
| 016868600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 14074 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN552 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Adventhealth Deland | Deland, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Roy H Hinman Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fernando Jose Arzola, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Fernando Jose Arzola, MD 929 N Spring Garden Ave, Deland, FL 32720-0900 Ph: (386) 738-9144 |
David Riascos, MD General Practice Medicare: Medicare Enrolled Practice Location: 927 N Spring Garden Ave, Deland, FL 32720 Phone: 386-337-3413 | |
Deborah Maria Ball Mora, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 233 E International Speedway Blvd Unit A, Deland, FL 32724 Phone: 386-854-0581 | |
Dr. Brendaliz Asencio, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 925 N Stone St, Deland, FL 32720 Phone: 386-734-6007 Fax: 386-734-6008 |