| Dr Shelley Nadira Persaud, MD | |
|
9330 State Road 54, Trinity, FL 34655-1808 | |
| (727) 834-4000 | |
| Not Available |
| Full Name | Dr Shelley Nadira Persaud |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 9330 State Road 54, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902434087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME163286 (Florida) | Primary |
| 207R00000X | Internal Medicine | 338566 (New York) | Secondary |
| Entity Name | Governor Juan F Luis Hospital & Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503647 PECOS PAC ID: 1153233804 Enrollment ID: O20070515000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelley Nadira Persaud, MD 9330 State Road 54, Trinity, FL 34655-1808 Ph: () - | Dr Shelley Nadira Persaud, MD 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4000 |
Victoria Basile, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9330 Fl-54, Trinity, FL 34655 Phone: 727-834-4000 | |
Mr. Sivakumar V Amar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3535 Little Road, Trinity, FL 34655 Phone: 727-375-0848 Fax: 727-375-5548 | |
Mr. Jeffrey Scott Vasta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3633 Little Road, Suite 101, Trinity, FL 34655 Phone: 727-375-2222 Fax: 866-244-2335 | |
Ghiath Kashlan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8835 Hawbuck St, Trinity, FL 34655 Phone: 813-792-1900 Fax: 855-287-7006 | |
Mazen Abusamaan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 727-834-4000 | |
Rene E Kunhardt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Little Rd, Trinity, FL 34655 Phone: 727-842-9486 Fax: 727-849-2623 | |
Richard Nicholas Maravel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3633 Little Rd, Suite 101, Trinity, FL 34655 Phone: 727-375-7455 |