| Dr Warren O Whitlock Jr, MD | |
|
130 Health Park Blvd, St Augustine, FL 32086-5776 | |
| (904) 826-3469 | |
| (904) 808-4608 |
| Full Name | Dr Warren O Whitlock Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 130 Health Park Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538126156 | NPI | - | NPPES |
| 080096188 | Other | FL | PALMETTO GBA RAILROAD MED |
| 038458500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME34534 (Florida) | Primary |
| Entity Name | Flagler Family Medicine P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215080809 PECOS PAC ID: 9335114347 Enrollment ID: O20040901000477 |
| Entity Name | Flagler Family Nursing Home Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679172779 PECOS PAC ID: 4486063120 Enrollment ID: O20210510000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Warren O Whitlock Jr, MD 130 Health Park Blvd, St Augustine, FL 32086-5776 Ph: (904) 826-3469 | Dr Warren O Whitlock Jr, MD 130 Health Park Blvd, St Augustine, FL 32086-5776 Ph: (904) 826-3469 |
Michael Clore Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Health Park Blvd, Suite 327, St Augustine, FL 32086 Phone: 904-825-3606 Fax: 904-825-0753 | |
Dr. Warren George Feldman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084 Phone: 904-824-8088 Fax: 904-826-4105 | |
Dr. Melchor G Barros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080 Phone: 904-471-2593 Fax: 904-471-4569 | |
Dr. Walid Omar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite 204, St Augustine, FL 32086 Phone: 217-720-3144 Fax: 904-404-8447 | |
David Alexander Cabezas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 | |
Dr. Eva Villanueva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 300, St Augustine, FL 32086 Phone: 904-819-4082 Fax: 904-819-5156 | |
Basant M Farghaly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Us Highway 1 S Ste 4, St Augustine, FL 32086 Phone: 904-810-8063 Fax: 904-621-9230 |