| Jesus Rafael Pichardo, MD | |
|
1130 S Semoran Blvd, Orlando, FL 32807-1457 | |
| (407) 382-1376 | |
| (321) 235-3232 |
| Full Name | Jesus Rafael Pichardo |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 38 Years |
| Location | 1130 S Semoran Blvd, Orlando, 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 |
|---|---|---|---|
| 1922083948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN320 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Associates Of Florida Healthcare, Pa | 6800200940 | 59 |
| Entity Name | Premier Medical Associates All Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829442 PECOS PAC ID: 2365418019 Enrollment ID: O20041026000956 |
| Entity Name | Premier Medical Associates Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366046179 PECOS PAC ID: 1557773413 Enrollment ID: O20201217000613 |
| Entity Name | Premier Medical Associates Of Florida Healthcare, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Rafael Pichardo, MD 6900 Tavistock Lakes Blvd Ste 300, Orlando, FL 32827-7592 Ph: (321) 758-2966 | Jesus Rafael Pichardo, MD 1130 S Semoran Blvd, Orlando, FL 32807-1457 Ph: (407) 382-1376 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 | |
Dr. Angel O Roman Munoz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5564 E Grant St, Orlando, FL 32822 Phone: 321-235-6230 Fax: 321-235-6246 |