| Evan Layton, DO | |
|
10141 Big Bend Rd Ste 103, Riverview, FL 33578-7421 | |
| (813) 302-8740 | |
| (813) 605-8740 |
| Full Name | Evan Layton |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10141 Big Bend Rd Ste 103, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801329586 | NPI | - | NPPES |
| 107285900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS16912 (Florida) | Primary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Layton, DO 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-6974 | Evan Layton, DO 10141 Big Bend Rd Ste 103, Riverview, FL 33578-7421 Ph: (813) 302-8740 |
Dr. Heather Sue Thole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-236-9000 Fax: 813-236-9002 | |
Dr. Peter Allen Kosoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9406 Balm Riverview Road, Riverview, FL 33569 Phone: 813-236-9310 Fax: 813-236-9311 | |
Christina Estrada Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Gerard R Hough, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11122 Circle Press Ln, Riverview, FL 33578 Phone: 813-681-1410 | |
Dr. Tanya Michelle Liberato, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Joseph Leon Portnoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 | |
Cady Rodney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11260 Sullivan St, Riverview, FL 33578 Phone: 813-689-7571 Fax: 813-654-8129 |