| Dr Suzy T Boules, MD | |
|
1701 N Mills Ave, Orlando, FL 32803-1851 | |
| (407) 204-7000 | |
| (407) 204-1366 |
| Full Name | Dr Suzy T Boules |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 39 Years |
| Location | 1701 N Mills Ave, Orlando, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609042563 | NPI | - | NPPES |
| ME92072 | Other | FL | PROFESSIONAL LICENSE NUMBER |
| 1609042563 | Other | FL | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME 92072 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aids Healthcare Foundation | 2668369109 | 75 |
| Entity Name | Aids Healthcare Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427218874 PECOS PAC ID: 2668369109 Enrollment ID: O20050525000558 |
| Entity Name | Health Care Center For The Homeless Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235213216 PECOS PAC ID: 6103895107 Enrollment ID: O20101019001089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzy T Boules, MD 6255 W Sunset Blvd Fl 21, Los Angeles, CA 90028-7422 Ph: (323) 860-5200 | Dr Suzy T Boules, MD 1701 N Mills Ave, Orlando, FL 32803-1851 Ph: (407) 204-7000 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 | |
Dr. Angel O Roman Munoz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5564 E Grant St, Orlando, FL 32822 Phone: 321-235-6230 Fax: 321-235-6246 |