| Dr Gayan Poovendran, MD | |
|
10650 W State Road 84 Ste 111, Davie, FL 33324-4235 | |
| (305) 209-1951 | |
| Not Available |
| Full Name | Dr Gayan Poovendran |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 10650 W State Road 84 Ste 111, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083935100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | ME121381 (Florida) | Primary |
| Entity Name | Meli Orthopedic Centers Of Excellence,llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568581502 PECOS PAC ID: 9032000955 Enrollment ID: O20040322000816 |
| Entity Name | Usa Sports Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639700370 PECOS PAC ID: 2062828775 Enrollment ID: O20210304000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gayan Poovendran, MD Po Box 162743, Altamonte Springs, FL 32716-2743 Ph: (954) 580-4084 | Dr Gayan Poovendran, MD 10650 W State Road 84 Ste 111, Davie, FL 33324-4235 Ph: (305) 209-1951 |
Dr. Nathalie Koenig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5480 Griffin Rd, Davie, FL 33314 Phone: 954-210-9770 | |
Amalia Hernandez, N/A Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10550 W State Road 84 Lot 380, Davie, FL 33324 Phone: 786-488-0264 | |
Mr. Cheryl Terri Lochan, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6140 Sw 24th Place, Apt 105, Davie, FL 33314 Phone: 954-483-0135 | |
Dr. Camille Zampino Bentley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 | |
Mrs. Fareeda Salma Baksh-deen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 | |
Dr. Alessandra Posey, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3301 College Ave, Davie, FL 33314 Phone: 954-262-5590 Fax: 954-262-5970 |