| Mr Jideofor Ebony Obodozie, MD | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-6000 | |
| Not Available |
| Full Name | Mr Jideofor Ebony Obodozie |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 15 Years |
| Location | 301 Memorial Medical Pkwy, Daytona Beach, 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 |
|---|---|---|---|
| 1124517289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2021048898 (Missouri) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME165936 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jideofor Ebony Obodozie, MD 901 Sterthaus Dr, Ormond Beach, FL 32174-5133 Ph: () - | Mr Jideofor Ebony Obodozie, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-6000 |
Thai Quoc Nguyen, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1997 | |
Dr. Richard Carl Weiss, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114 Phone: 386-254-4212 Fax: 386-254-4214 | |
Dhrumil Vijaykumar Patel, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Alexandra Crossman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Dr. Vinicius Costa Diniz Domingues, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-252-1632 Fax: 386-257-5526 | |
Dr. Mahmoud S Khalifa, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Dr. David Scott Weinreich, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-899-3686 |