| Dr Mohammad Salman Choudhary, MD PHD | |
| 
					1455 Dunn Ave, Daytona Beach, FL 32114-1437  | |
| (386) 323-9600 | |
| (386) 323-9695 | 
| Full Name | Dr Mohammad Salman Choudhary | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 1455 Dunn Ave, Daytona Beach, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992037121 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | ACN343 (Florida) | Secondary | 
| 208D00000X | General Practice | 17816 (Puerto Rico) | Primary | 
| Entity Name | Caremax Clinic 711 Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609359249 PECOS PAC ID: 3577806173 Enrollment ID: O20190523000156  | 
| Entity Name | Premier Care Centre Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518564699 PECOS PAC ID: 0345654349 Enrollment ID: O20210203001522  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mohammad Salman Choudhary, MD PHD 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-0108  | Dr Mohammad Salman Choudhary, MD PHD 1455 Dunn Ave, Daytona Beach, FL 32114-1437 Ph: (386) 323-9600  | 
Mrs. Luz M Alicea Berrios, MD General Practice Medicare: Medicare Enrolled Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-323-9600 Fax: 386-323-9695  | |
Dr. Loretha King, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 143 Executive Cir, Daytona Beach, FL 32114 Phone: 772-233-9515  | |
Dr. Monica Edith Cantu, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd Ste 130, Primecare At Twin Lakes, Daytona Beach, FL 32117 Phone: 386-274-2212 Fax: 386-274-1508  | |
Dr. Cesar Arturo Calderon, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3950 Tiger Bay Rd, Tomoka Correctional Institution Medical Dept, Daytona Beach, FL 32124 Phone: 386-323-1120 Fax: 386-323-1168  | |
Dr. Milton Mendez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3950 Tiger Bay Road, Medical Department Tomoka Correctional Institution, Daytona Beach, FL 32124 Phone: 386-323-1141 Fax: 386-323-1168  | |
Dr. Angel Emanuel Benitez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-323-9600  | |
Dr. Ronald Dean Lippmann, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 2381 Mason Ave, Ste 100, Daytona Beach, FL 32117 Phone: 321-207-9029 Fax: 844-410-7960  |