| Dr Lovell Leonard Mayle, MD | |
|
17000 Porter Rd, Winter Garden, FL 34787-8915 | |
| (321) 842-5052 | |
| Not Available |
| Full Name | Dr Lovell Leonard Mayle |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 17000 Porter Rd, Winter Garden, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073624649 | NPI | - | NPPES |
| 271321700 | Medicaid | FL | |
| 11640 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | ME59012 (Florida) | Primary |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Anesthesiologists Of Greater Orlando Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lovell Leonard Mayle, MD 15705 Panther Lake Dr, Winter Garden, FL 34787-4567 Ph: (352) 223-0061 | Dr Lovell Leonard Mayle, MD 17000 Porter Rd, Winter Garden, FL 34787-8915 Ph: (321) 842-5052 |
Karen Michelle Dugan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1348 Marble Crest Way, Winter Garden, FL 34787 Phone: 240-285-5756 |