| Dr Mark Louis Brantly, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-8737 | |
| Not Available |
| Full Name | Dr Mark Louis Brantly |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619918646 | NPI | - | NPPES |
| 255830100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME83377 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Louis Brantly, MD Po Box 13833, Philadelphia, PA 19101-3833 Ph: (352) 273-8737 | Dr Mark Louis Brantly, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8737 |
Dr. Sheetal Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 800-324-8387 |
Eric I Rosenberg, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0651 Fax: 352-265-0153 |
Osman S Farooq, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-559-5051 |
Ilie Toma Barb, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-264-2500 Fax: 352-416-0135 |
Dr. Sebastian Carrasquillo Montalvo, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9079 Fax: 352-273-8889 |
Dr. Faiza Khalifa, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0651 |
Zaid Anas Abdel Ra'uof Alnabulsi, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8737 |