| Dr Martino Rosalva, MD | |
| 
					18550 Us Highway 441, Mount Dora, FL 32757-6751  | |
| (352) 735-3755 | |
| (352) 735-3151 | 
| Full Name | Dr Martino Rosalva | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 18550 Us Highway 441, 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 | 
|---|---|---|---|
| 1689924425 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 18527 (Puerto Rico) | Secondary | 
| 207Q00000X | Family Medicine | ME132709 (Florida) | Primary | 
| Entity Name | Physicians Of Central Florida, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861421018 PECOS PAC ID: 5395712764 Enrollment ID: O20040914001352  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Martino Rosalva, MD 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755  | Dr Martino Rosalva, MD 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755  | 
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  |