| Dr Jose Manuel Canabal Montalvo, MD | |
|
29750 Us Highway 19 N Ste 101, Clearwater, FL 33761-1510 | |
| (727) 786-5058 | |
| (813) 635-2639 |
| Full Name | Dr Jose Manuel Canabal Montalvo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 29750 Us Highway 19 N Ste 101, Clearwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972132496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME168291 (Florida) | Primary |
| 207R00000X | Internal Medicine | 324533 (New York) | Secondary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Manuel Canabal Montalvo, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Dr Jose Manuel Canabal Montalvo, MD 29750 Us Highway 19 N Ste 101, Clearwater, FL 33761-1510 Ph: (727) 786-5058 |
Dr. Irma Alves, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7908 Fax: 727-462-7904 | |
Dr. Mark Alan Whiting, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Pinellas St, Suite 350, Clearwater, FL 33756 Phone: 727-462-3696 Fax: 813-635-2637 | |
Dr. Steven Charles Bowman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3251 N Mcmullen Booth Rd, Suite 303, Clearwater, FL 33761 Phone: 727-725-6110 Fax: 727-669-9742 | |
Dr. Mahesh Amin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Pinellas St Ste 330, Clearwater, FL 33756 Phone: 727-724-8611 Fax: 727-724-0425 | |
Dr. Sara Enid Cruz-luna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1243 S Myrtle Ave, Clearwater, FL 33756 Phone: 727-442-3126 Fax: 727-287-4559 | |
Neisa I Diaz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 13501 Icot Blvd Ste 114, Clearwater, FL 33760 Phone: 727-754-7880 Fax: 727-754-7885 | |
Mr. Sanjiva Michael Lutchmedial, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Morton Plant St Ste 405, Clearwater, FL 33756 Phone: 727-443-0611 Fax: 727-461-5493 |