| Dr Jack B Davidoff, MD | |
|
2300 E County Road 540a, Lakeland, FL 33813-3825 | |
| (863) 680-7190 | |
| (866) 264-8519 |
| Full Name | Dr Jack B Davidoff |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 2300 E County Road 540a, 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 |
|---|---|---|---|
| 1972519932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME116103 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poinciana Medical Center | Kissimmee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of Central Florida Llp | 1850296567 | 121 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Md4er Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568851707 PECOS PAC ID: 0840511242 Enrollment ID: O20150611000252 |
| 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 Jack B Davidoff, MD 117 Palm Pl, Haines City, FL 33844-5813 Ph: () - | Dr Jack B Davidoff, MD 2300 E County Road 540a, Lakeland, FL 33813-3825 Ph: (863) 680-7190 |
Danton Manabat Sun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Dr. Luis Clyde Favilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Innovation Dr, Lakeland, FL 33812 Phone: 860-709-1968 Fax: 863-701-2151 | |
Dr. James K Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033 | |
Alex I Garriga, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813 Phone: 863-644-4547 Fax: 863-701-9453 | |
Dr. Avantica Gondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803 Phone: 863-210-5640 Fax: 863-210-5716 | |
Dr. Yi Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 | |
Dr. Melissa Ann Ballengee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |