| Kassie Virginia Falcon, | |
|
19735 Us Highway 441 Fl 1, Mount Dora, FL 32757-2204 | |
| (352) 735-5700 | |
| (352) 735-5701 |
| Full Name | Kassie Virginia Falcon |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 19735 Us Highway 441 Fl 1, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972064780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS18915 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Kassie Virginia Falcon, 19735 Us Highway 441 Fl 1, Mount Dora, FL 32757-2204 Ph: (352) 735-5700 | Kassie Virginia Falcon, 19735 Us Highway 441 Fl 1, Mount Dora, FL 32757-2204 Ph: (352) 735-5700 |
Dr. Sam S Luk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17580 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-0608 | |
Sylvia Boloczko, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16860 Us Highway 441, Mount Dora, FL 32757 Phone: 352-432-8443 Fax: 844-388-6186 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3619 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-383-8222 | |
Dr. Ahrash Khajaei, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 19735 Us Highway 441 Fl 2, Mount Dora, FL 32757 Phone: 352-253-3251 | |
Dr. Ghulam Mustafa Anwar, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kimberly T Jackson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St, #200, Mount Dora, FL 32757 Phone: 352-735-8231 | |
Dr. Scott Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 North, Fl-19, Mount Dora, FL 32757 Phone: 239-245-1698 |