| Dr Kelly C Komatz, MD | |
|
1519 Summer Ave, Jupiter, FL 33469-3119 | |
| (904) 428-9197 | |
| Not Available |
| Full Name | Dr Kelly C Komatz |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Hospice And Palliative Medicine |
| Location | 1519 Summer Ave, Jupiter, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457303588 | NPI | - | NPPES |
| 257235401 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME61036 (Florida) | Secondary |
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | ME61036 (Florida) | Primary |
| 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 Kelly C Komatz, MD 1519 Summer Ave, Jupiter, FL 33469-3119 Ph: (904) 428-9197 | Dr Kelly C Komatz, MD 1519 Summer Ave, Jupiter, FL 33469-3119 Ph: (904) 428-9197 |
Dr. Ashik Nisar Ahmad, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 239-343-6260 Fax: 239-343-6259 | |
Dr. Yela Monica Martinez-rubio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Intracoastal Pointe Dr Ste 200, Jupiter, FL 33477 Phone: 561-972-7337 Fax: 561-972-7344 | |
Dr. Anthony Orsini, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-4483 Fax: 561-263-2754 | |
Dr. Roland Fernandez Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1025 Military Trl Ste 109, Jupiter, FL 33458 Phone: 561-741-0000 Fax: 561-741-0002 | |
Dr. Nagaraj Gowda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 University Blvd, Suite 102, Jupiter, FL 33458 Phone: 561-622-6610 Fax: 561-622-6091 | |
Dr. John Patrick Harvey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-4483 | |
Jennifer Marie Garcia Hoffman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1025 Military Trl, Jupiter, FL 33458 Phone: 561-741-0000 |