| Matthew Grove, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-1865 | |
| (352) 265-0535 | |
| (352) 265-0328 |
| Full Name | Matthew Grove |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659807428 | NPI | - | NPPES |
| 121618300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME139928 (Florida) | Primary |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Grove, MD Po Box 100374, Gainesville, FL 32610-0374 Ph: (352) 265-0291 | Matthew Grove, MD 1600 Sw Archer Rd, Gainesville, FL 32610-1865 Ph: (352) 265-0535 |
Dr. Will F Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605 Phone: 352-331-9729 Fax: 352-331-0136 | |
Patricia Perdigon Moser, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 Fax: 352-265-0279 | |
Dr. Sean Joseph Brennan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Erica May, RT(R)(CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 Se 16th Ave Apt 6d, Gainesville, FL 32601 Phone: 219-218-1829 | |
Dr. Alexandre Dias Mancano, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0104 | |
Giovanni Brondani Torri, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 | |
Matthew Gregory Wrench, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Road, Gainesville, FL 32610 Phone: 352-265-0291 |