| Ralph Gousse, M D | |
|
106 Boston Ave Ste 105, Altamonte Springs, FL 32701-4711 | |
| (407) 553-7710 | |
| (866) 445-1446 |
| Full Name | Ralph Gousse |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 43 Years |
| Location | 106 Boston Ave Ste 105, Altamonte Springs, 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 |
|---|---|---|---|
| 1457316341 | NPI | - | NPPES |
| 377436800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0000X | Internal Medicine - Hematology | ME0061059 (Florida) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | ME0061059 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 397 |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Gousse, M D Po Box 102222, Attn: Credential Department, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Ralph Gousse, M D 106 Boston Ave Ste 105, Altamonte Springs, FL 32701-4711 Ph: (407) 553-7710 |
Jaime Carrizosa, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 685 Palm Springs Dr, Ste. 2a, Altamonte Springs, FL 32701 Phone: 407-830-5577 Fax: 407-830-4164 | |
Dr. Walter Lamar Seifert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 258 E Altamonte Dr Ste 1000, Altamonte Springs, FL 32701 Phone: 407-212-5589 | |
Dr. Fuad Afzal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 631 Palm Springs Dr, Suite 104, Altamonte Springs, FL 32701 Phone: 407-265-2540 Fax: 407-265-9167 | |
Robert B Reynolds, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 894 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-834-5151 Fax: 407-834-5562 | |
Dr. Jose Antonio Martinez Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 249 Maitland Ave Ste 3200, Altamonte Springs, FL 32701 Phone: 407-686-1811 | |
Raul C Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 894 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-834-5151 Fax: 407-896-1926 | |
Fernando Alvarado, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 685 Palm Springs Dr, Ste 2a, Altamonte Springs, FL 32701 Phone: 407-830-5577 Fax: 407-830-4164 |