| Dr Glenn Steven Avidon, MD | |
|
Po Box 47, Deland, FL 32721-0047 | |
| (407) 468-4301 | |
| (407) 264-8168 |
| Full Name | Dr Glenn Steven Avidon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | Po Box 47, 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 |
|---|---|---|---|
| 1124138292 | NPI | - | NPPES |
| 068418000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD423521 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | ME 40282 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 765 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Steven Avidon, MD Po Box 47, Deland, FL 32721-0047 Ph: (407) 468-4301 | Dr Glenn Steven Avidon, MD Po Box 47, Deland, FL 32721-0047 Ph: (407) 468-4301 |
Mark F Marino, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Evan Bloom, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Graham Borysko, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4522 | |
Phuong-truc Le, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Edmundo D Delgado, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Deepak R Sarkar, M.D., Anesthesiology Medicare: Medicare Enrolled Practice Location: 45801 Central Camp Rd, Deland, FL 32720 Phone: 361-658-7721 |