| Dr Matthew Ruggeri Novak, MD | |
|
175 W Pine Ave, Longwood, FL 32750-4168 | |
| (321) 201-0172 | |
| Not Available |
| Full Name | Dr Matthew Ruggeri Novak |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 175 W Pine Ave, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467710004 | NPI | - | NPPES |
| 128225200 | Medicaid | FL | |
| ME123246 | Other | FL | MEDICAL LICENSE |
| 151LX | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | ME123246 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME123246 (Florida) | Secondary |
| Entity Name | Mid Florida Hospital Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588675912 PECOS PAC ID: 5092628107 Enrollment ID: O20031106000013 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Ruggeri Novak, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-2052 | Dr Matthew Ruggeri Novak, MD 175 W Pine Ave, Longwood, FL 32750-4168 Ph: (321) 201-0172 |
Mohammad M Hossain, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 434, Mp Ss Admin, Longwood, FL 32750 Phone: 321-842-2994 Fax: 407-767-5801 | |
Dr. Daniel Ntim Amponsah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Dr. Arabinda Behura, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 W State Road 434 Ste 1004, Longwood, FL 32750 Phone: 732-407-3427 Fax: 321-832-7766 | |
Anita Ekambaram, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 555 W Sr 434, Mp Ss Admin, Longwood, FL 32750 Phone: 321-842-2994 Fax: 407-767-5801 | |
Michael Kwak, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 175 W Pine Ave, Longwood, FL 32750 Phone: 321-207-0172 | |
Srujani Gaddam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 175 W Pine Ave, Longwood, FL 32750 Phone: 321-207-0172 Fax: 321-201-0175 |