| Harry D Marty Vigo, MD | |
|
15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 | |
| (904) 427-4252 | |
| (904) 427-6727 |
| Full Name | Harry D Marty Vigo |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 13 Years |
| Location | 15255 Max Leggett Pkwy Ste 4224, Jacksonville, 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 |
|---|---|---|---|
| 1609201334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 90708 (Georgia) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME134756 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| Capital Regional Medical Center | Tallahassee, FL | Hospital |
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Jacksonville, Llc | 1759435944 | 130 |
| Inpatient Consultants Of Florida, Inc | 4789614785 | 150 |
| Hospital Physician Services Of Florida Pa | 7012201965 | 173 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
| Entity Name | Florida Hospital Medicine Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508873183 PECOS PAC ID: 7810129640 Enrollment ID: O20140410000465 |
| Entity Name | Wcs Professional Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659782415 PECOS PAC ID: 3678792579 Enrollment ID: O20140908001617 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20180208000317 |
| Entity Name | Hospitalist Medicine Physicians Of Florida - Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841778461 PECOS PAC ID: 4183960545 Enrollment ID: O20190107002674 |
| Entity Name | Sound Physicians Of Florida Vi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417761073 PECOS PAC ID: 1759802333 Enrollment ID: O20250312000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Harry D Marty Vigo, MD 15255 Max Leggett Pkwy 4th Floor Ste 4224, Jacksonville, FL 32218 Ph: (904) 427-4252 | Harry D Marty Vigo, MD 15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 Ph: (904) 427-4252 |
Dr. Jami Ann Rothe Kinnucan, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |