| Dr Kevin Patrick Bryan, MD | |
|
4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | |
| (407) 975-0412 | |
| (407) 975-0407 |
| Full Name | Dr Kevin Patrick Bryan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4200 Sun N Lake Blvd, Sebring, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104811512 | NPI | - | NPPES |
| 015608500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD417302 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | ME121818 (Florida) | Secondary |
| 208000000X | Pediatrics | ME121818 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| 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 | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| 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 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Patrick Bryan, MD 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 Ph: (407) 975-0412 | Dr Kevin Patrick Bryan, MD 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 Ph: (407) 975-0412 |
Dr. Mercy L Seralde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 Medical Way, Suite 101, Sebring, FL 33870 Phone: 863-382-0566 Fax: 863-471-9340 | |
Ms. Cynthia K Powell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4200 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-402-3103 Fax: 863-382-1433 | |
Mrs. Raisa D Camilo, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4958 Sun N Lake Blvd, Sebring, FL 33872 Phone: 863-385-4711 Fax: 863-386-4301 | |
Dr. Jais Meera Emmanuel Valley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6325 Us Highway 27 N Ste 201, Sebring, FL 33870 Phone: 863-382-9600 | |
Praveen Krishnadas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 Medical Way, Suite 101, Sebring, FL 33870 Phone: 863-382-0770 Fax: 863-471-9968 | |
Dr. Navin D Deshpande, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7215 Us Highway 27 N, Sebring, FL 33870 Phone: 863-452-1818 Fax: 863-452-6544 |