| Dr Mohammad Reza Mastali, MD | |
|
105 Park Place Blvd Ste A, Davenport, FL 33837-6870 | |
| (863) 419-2156 | |
| Not Available |
| Full Name | Dr Mohammad Reza Mastali |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 30 Years |
| Location | 105 Park Place Blvd Ste A, Davenport, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689762924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME 85686 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 631 |
| Entity Name | Gastro Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487767133 PECOS PAC ID: 2365440567 Enrollment ID: O20061127000011 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad Reza Mastali, MD 105 Park Place Blvd Ste A, Davenport, FL 33837-6870 Ph: (863) 419-2156 | Dr Mohammad Reza Mastali, MD 105 Park Place Blvd Ste A, Davenport, FL 33837-6870 Ph: (863) 419-2156 |
Dr. Dwarka G Nath, M D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 40124 Highway 27 Ste 204, Davenport, FL 33837 Phone: 863-419-2156 | |
Dr. Irfan F Siddiqui, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 Lionel Way, Davenport, FL 33837 Phone: 863-424-3278 Fax: 863-420-9701 | |
Rubayat Naila Rahman, MD MPH Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 40124 Us Hwy 27, Ste 204, Davenport, FL 33837 Phone: 863-419-2156 Fax: 863-419-2157 | |
Tatjana Blazin, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 40100 Us 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Luis Andres Gil, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 105 Park Place Blvd Ste A, Davenport, FL 33837 Phone: 863-419-2156 | |
Ceferina Bondoc Del Rosario, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 103 N Escambia Avenue, Davenport, FL 33837 Phone: 863-421-7778 Fax: 863-421-7795 | |
Jaydev H Avashia, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 40107 Highway 27 Ste 200, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 |