| Michael Vincent Florendo Tablang, MD | |
|
351 N Ferdon Blvd, Crestview, FL 32536-2727 | |
| (508) 623-9798 | |
| (850) 862-0605 |
| Full Name | Michael Vincent Florendo Tablang |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 27 Years |
| Location | 351 N Ferdon Blvd, Crestview, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679763387 | NPI | - | NPPES |
| 116653900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME138845 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Pensacola, FL | Home health agency |
| Kindred At Home | Fort walton beach, FL | Home health agency |
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Twin Cities Hospital | Niceville, FL | Hospital |
| West Florida Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emerald Coast Infectious Diseases Medical Group, P.a. | 5092753772 | 17 |
| Entity Name | Emerald Coast Infectious Diseases Medical Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017882 PECOS PAC ID: 5092753772 Enrollment ID: O20050422000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vincent Florendo Tablang, MD 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6651 Ph: (850) 862-3979 | Michael Vincent Florendo Tablang, MD 351 N Ferdon Blvd, Crestview, FL 32536-2727 Ph: (508) 623-9798 |
Abdul Basit Mir, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 131 E Redstone Ave, Suite 101, Crestview, FL 32539 Phone: 850-682-5174 Fax: 850-689-3653 | |
Ian Landon Weisberg, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 550 Redstone Ave W Ste 430, Crestview, FL 32536 Phone: 850-854-3278 Fax: 850-616-9164 | |
Helen Ann Preston, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 131 E Redstone Ave, Suite 110, Crestview, FL 32539 Phone: 850-398-5922 Fax: 850-398-6133 | |
Steven Scott Donchey, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-8100 Fax: 850-689-8484 | |
Farhat Mehmood, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 129 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-682-7212 Fax: 850-682-0220 | |
Jason Qualley, MD, CCP,LP Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 182 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 855-527-7246 Fax: 833-905-2461 | |
Patrick Joseph Fitzgerald, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 129 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-682-7212 Fax: 850-682-0220 |