| Dr Hamidreza Ebneshahidi, MD | |
|
110 Pond Ct Ste 301, Debary, FL 32713-2717 | |
| (386) 259-4258 | |
| (877) 569-2113 |
| Full Name | Dr Hamidreza Ebneshahidi |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 18 Years |
| Location | 110 Pond Ct Ste 301, Debary, 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 |
|---|---|---|---|
| 1710473889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1122 (Florida) | Primary |
| 208D00000X | General Practice | 19992 (Puerto Rico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Physician Associates, P.a. | 2466816319 | 2 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hamidreza Ebneshahidi, MD 110 Pond Ct Ste 301, Debary, FL 32713-2717 Ph: (386) 259-4258 | Dr Hamidreza Ebneshahidi, MD 110 Pond Ct Ste 301, Debary, FL 32713-2717 Ph: (386) 259-4258 |
Dr. Stephanie Gonzales, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 62 Spring Vista Dr Ste 101, Debary, FL 32713 Phone: 971-500-4286 | |
Irelis Rodriguez Castro, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 110 Pond Ct, Ste 301 And 302, Debary, FL 32713 Phone: 000-000-0000 Fax: 818-337-1454 |