| Dr Latonia Marie Addison, MD | |
|
3601 Sw 160th Ave, Suite #250, Miramar, FL 33027-6308 | |
| (305) 866-9951 | |
| (877) 284-8933 |
| Full Name | Dr Latonia Marie Addison |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3601 Sw 160th Ave, Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962429605 | NPI | - | NPPES |
| 430738027A | Medicaid | GA | |
| P00811340 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 057766 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 057766 (Georgia) | Secondary |
| Entity Name | Georgia Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609816123 PECOS PAC ID: 8426949587 Enrollment ID: O20040320000451 |
| Entity Name | Vision Medical Consulting, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073562922 PECOS PAC ID: 3678589967 Enrollment ID: O20060223000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Latonia Marie Addison, MD 5546 Trace Views Dr, Norcross, GA 30071-1436 Ph: (310) 903-3907 | Dr Latonia Marie Addison, MD 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027-6308 Ph: (305) 866-9951 |
Dr. Toan Huu Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Teresa M Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Aletha Cress Oglesby, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Avenue, Suite 250, Miramar, FL 33024 Phone: 877-866-7123 | |
Andrea C. Dory, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933 | |
Dr. Liron Beltzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4642 Fax: 877-859-8768 | |
Gokhan Guvenli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12600 Pembroke Rd Ste 100, Miramar, FL 33027 Phone: 954-432-5400 Fax: 877-671-4101 | |
Eleanor Grant Price, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10910 Pembroke Rd, Miramar, FL 33025 Phone: 954-276-5552 Fax: 954-443-4737 |