| Kiara Hodge, | |
|
4683 Van Dyke Rd, Lutz, FL 33558-4880 | |
| (813) 968-7171 | |
| Not Available |
| Full Name | Kiara Hodge |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4683 Van Dyke Rd, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801537170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS21674 (Florida) | Primary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiara Hodge, 4683 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 968-7171 | Kiara Hodge, 4683 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 968-7171 |
Sonia Farooqi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23026 State Road 54, Lutz, FL 33549 Phone: 813-751-3131 |
Saumeel Rashmikant Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 |
Dr. Payal Pritesh Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 |
Dr. Neil Hans Surti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24630 State Road 54, Building 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 |
Dr. Frances Morales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24630 State Road 54, Bldg. 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 |
Jamie A Mallah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4683 Van Dyke Rd, Lutz, FL 33558 Phone: 813-968-7171 Fax: 813-968-7282 |
Robert Anthony Buzzeo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1854 Oak Grove Blvd, Lutz, FL 33559 Phone: 813-948-6133 Fax: 813-948-3460 |