| Dr Lisa Champoux-rhoden, MD | |
| 
					2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403  | |
| (813) 689-7139 | |
| (813) 443-8157 | 
| Full Name | Dr Lisa Champoux-rhoden | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 2470 Bloomingdale Ave Ste 223, Valrico, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619970597 | NPI | - | NPPES | 
| 251446000 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | ME70484 (Florida) | Primary | 
| Entity Name | Baycare Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lisa Champoux-rhoden, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 532-1355  | Dr Lisa Champoux-rhoden, MD 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 Ph: (813) 689-7139  | 
Dr. Marife Quiros, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157  | |
Dr. Robert Michael Friedmeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157  | |
Dr. Alfred Ching, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2544 Mason Oaks Dr, Valrico, FL 33594 Phone: 813-684-4724  | |
Dr. Meesha Kshemal Mankodi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157  | |
Dr. Patricia A Curtin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157  | |
Dr. Brent D Mook Sang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596 Phone: 813-689-7139 Fax: 813-443-8157  |