| Dr Mark Douglas Nanni, MD | |
|
613 Oakfield Dr, Brandon, FL 33511-5714 | |
| (813) 661-2222 | |
| (813) 681-8494 |
| Full Name | Dr Mark Douglas Nanni |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 613 Oakfield Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184620692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME45556 (Florida) | Primary |
| Entity Name | Sheridan Radiology Services Of West Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Douglas Nanni, MD 122 Linsley Ave, Ste A, Brandon, FL 33511-5121 Ph: (813) 657-4914 | Dr Mark Douglas Nanni, MD 613 Oakfield Dr, Brandon, FL 33511-5714 Ph: (813) 661-2222 |
Phillip Esposito, Radiology Medicare: Medicare Enrolled Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-916-2348 | |
Dr. John David Mctaggart, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 613 Oakfield Dr, Brandon, FL 33511 Phone: 813-661-2222 Fax: 813-681-8494 | |
Richard R Six, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 618 Vintage Way, Brandon, FL 33511 Phone: 772-463-8256 Fax: 772-463-7795 | |
Dr. Victoria Edmond-davis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 904-236-5884 | |
Philip Joseph Granchi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 904-236-5884 | |
Dr. Sean R Rosensweig, MD Radiology Medicare: Medicare Enrolled Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 Fax: 813-916-2944 |