| Dr Randy M Kiriluk, MD | |
|
10609 Lucaya Dr, Tampa, FL 33647-3666 | |
| (843) 742-9888 | |
| (813) 973-0839 |
| Full Name | Dr Randy M Kiriluk |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10609 Lucaya Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639100191 | NPI | - | NPPES |
| 5909978 | Medicaid | NC | |
| 3882947 | Medicaid | TN | |
| 4101598 | Other | TN | BLUE CROSS |
| 4101599 | Other | TN | BLUE CROSS |
| P00343209 | Other | TN | RAILROAD MEDICARE |
| 3882949 | Medicaid | TN | |
| P00254455 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME111950 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 85057 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 200801162 (North Carolina) | Primary |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy M Kiriluk, MD 10609 Lucaya Dr, Tampa, FL 33647-3666 Ph: (843) 742-9888 | Dr Randy M Kiriluk, MD 10609 Lucaya Dr, Tampa, FL 33647-3666 Ph: (843) 742-9888 |
Leslie Kapp-jones, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-866-0930 | |
Rania Hamvas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Highwoods Preserve Pkwy, Tampa, FL 33647 Phone: 813-972-1030 Fax: 813-972-2224 | |
Caitlin Sarah Morgan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mr. Ramon Santiago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 N 56th St, Suite 101, Tampa, FL 33617 Phone: 813-988-1984 Fax: 813-988-0240 | |
Mr. Jose M Garcia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2601 N Himes Ave, Tampa, FL 33607 Phone: 813-873-8071 Fax: 813-877-4031 | |
Dr. Paul James O Braonain, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3250 Zemke Ave, Tampa, FL 33621 Phone: 813-827-9548 Fax: 203-327-2991 | |
Dr. Vasant L Dabhi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3250 Zemke Ave, Tampa, FL 33621 Phone: 813-827-9657 Fax: 813-736-4845 |