| Dr Iftikhar Fazal Haq, DO | |
|
100 Commercial Dr, Keystone Heights, FL 32656-6802 | |
| (352) 473-6595 | |
| (352) 473-6597 |
| Full Name | Dr Iftikhar Fazal Haq |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 100 Commercial Dr, Keystone Heights, 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 |
|---|---|---|---|
| 1902899958 | NPI | - | NPPES |
| 80804 | Other | FL | BLUE CROSS BLUE SHIELD |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6099 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Inc | 7214849520 | 27 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Iftikhar Fazal Haq, DO 120 Vintage Ln, Palatka, FL 32177-8555 Ph: (386) 325-5801 | Dr Iftikhar Fazal Haq, DO 100 Commercial Dr, Keystone Heights, FL 32656-6802 Ph: (352) 473-6595 |
Dr. Heather Renee Davis, DNP, ARNP, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Commercial Dr, Keystone Heights, FL 32656 Phone: 352-473-6595 | |
Michael J Vernacchio, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Commercial Dr, Keystone Heights, FL 32656 Phone: 352-473-6595 Fax: 352-473-6597 | |
Natalie Pons, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6651 Woodland Dr, Keystone Heights, FL 32656 Phone: 352-359-4621 |