| Dr Timothy Seth Tudor, DO | |
|
1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545 | |
| (772) 398-9911 | |
| (772) 398-4577 |
| Full Name | Dr Timothy Seth Tudor |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 14 Years |
| Location | 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, 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 |
|---|---|---|---|
| 1720376247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 2011017333 (Missouri) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | OS 13941 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
| St Lucie Medical Center | Port saint lucie, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ent And Allergy Associates Of Florida, Llc | 0042292849 | 210 |
| Entity Name | Ent And Allergy Associates Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Seth Tudor, DO 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 | Dr Timothy Seth Tudor, DO 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 |
Dr. Leslie Robert Berghash, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Dr. Daniel J Zaluzec, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1801 Se Hillmoor Dr Ste C-110, Port St Lucie, FL 34952 Phone: 772-337-0072 Fax: 888-615-7171 | |
Kenneth Weiss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952 Phone: 772-337-3700 | |
William Bernard Bass, ARNP Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Dr. John T Lanza, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 |