| Gustavo Adolfo Villalona, MD | |
|
807 Childrens Way, Jacksonville, FL 32207-8426 | |
| (904) 697-3600 | |
| Not Available |
| Full Name | Gustavo Adolfo Villalona |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 807 Childrens Way, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740447200 | NPI | - | NPPES |
| ME143331 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | ME143331 (Florida) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Adolfo Villalona, MD 2220 Saragossa Ave, Jacksonville, FL 32217-2684 Ph: (917) 291-7654 | Gustavo Adolfo Villalona, MD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 697-3600 |
Timothy Edward Fee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4147 Southpoint Dr E, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-332-9137 | |
Meredith Tinti, MD Surgery Medicare: Medicare Enrolled Practice Location: 3627 University Blvd S Ste 500, Jacksonville, FL 32216 Phone: 904-596-0760 | |
Dr. George B Filosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 700, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-2754 | |
Dr. Michael Anthony Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 215-707-3133 Fax: 215-707-3945 | |
Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675 | |
Dr. Andrew James Kerwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Ufjp Trauma Surgery, Jacksonville, FL 32209 Phone: 904-244-6631 Fax: 904-244-4687 | |
Dr. Marc George Mesleh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |