Kayode M Balogun, MD | |
6551 Ridge Rd Ste 2, Port Richey, FL 34668-6868 | |
(727) 846-0666 | |
(727) 849-1474 |
Full Name | Kayode M Balogun |
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Gender | Male |
Speciality | General Practice |
Location | 6551 Ridge Rd Ste 2, Port Richey, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033759089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 2019014740 (Missouri) | Primary |
Entity Name | Florida Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750399598 PECOS PAC ID: 5799786687 Enrollment ID: O20070726000554 |
Mailing Address | Practice Location Address |
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Kayode M Balogun, MD Po Box 25487, Sarasota, FL 34277-2487 Ph: (941) 202-5342 | Kayode M Balogun, MD 6551 Ridge Rd Ste 2, Port Richey, FL 34668-6868 Ph: (727) 846-0666 |
Samir Shah, MD General Practice Medicare: Medicare Enrolled Practice Location: 10730 Us Highway 19, Port Richey, FL 34668 Phone: 352-691-5050 Fax: 352-691-5052 | |
Celena Vinent Carbonell, MD General Practice Medicare: Medicare Enrolled Practice Location: 5721 Richey Dr, Port Richey, FL 34668 Phone: 727-807-9754 | |
Melvyn Galeza Drew, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6610 Embassy Blvd, Suite C, Port Richey, FL 34668 Phone: 727-848-2233 Fax: 727-847-4945 | |
Dr. Lindy Allison Taylor, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 8647 Betty St, Port Richey, FL 34668 Phone: 941-777-5159 Fax: 727-807-6829 | |
Dr. Reynaldo L.c. Lim, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 6545 Ridge Rd Ste 2, Port Richey, FL 34668 Phone: 727-848-8058 Fax: 727-848-0091 |