| John Buckley Canalizo, MD | |
|
1055 Saxon Blvd, Orange City, FL 32763-8468 | |
| (386) 943-4522 | |
| Not Available |
| Full Name | John Buckley Canalizo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 1055 Saxon Blvd, Orange City, 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 |
|---|---|---|---|
| 1538116355 | NPI | - | NPPES |
| 32396 | Other | FL | BLUE CROSS |
| 250628900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME67318 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primecare At Twin Lakes Llc | 3072591924 | 6 |
| Entity Name | Primecare At Twin Lakes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
| Entity Name | Primecare Acquisition Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003452681 PECOS PAC ID: 5799116315 Enrollment ID: O20200515000882 |
| Mailing Address | Practice Location Address |
|---|---|
| John Buckley Canalizo, MD Po Box 9430, Daytona Beach, FL 32120-9430 Ph: (386) 274-7800 | John Buckley Canalizo, MD 1055 Saxon Blvd, Orange City, FL 32763-8468 Ph: (386) 943-4522 |
Charles Daniel Duva, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Gerard Joseph Newcomer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Amy Sue Kelley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Nancy Sue Tucker, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Dr. Stephen Senne Knight, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Elizabeth Jean Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-274-7800 Fax: 386-274-7801 | |
Judy Jennifer Roberts, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 |