| Robert Cordero, MD | |
|
1592 South State Road 15-a, Deland, FL 32720 | |
| (386) 734-2931 | |
| (386) 734-2939 |
| Full Name | Robert Cordero |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1592 South State Road 15-a, Deland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861484206 | NPI | - | NPPES |
| 12724X | Other | FL | MEDICARE |
| 12724 | Other | FL | BCBS |
| 180012438 | Other | FL | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME58086 (Florida) | Primary |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Cordero, MD 1592 South State Road 15-a, Deland, FL 32720 Ph: (386) 734-2931 | Robert Cordero, MD 1592 South State Road 15-a, Deland, FL 32720 Ph: (386) 734-2931 |
Kevin M Barber, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1592 South State Road 15-a, Deland, FL 32720 Phone: 386-734-2931 Fax: 386-734-2939 | |
Thomas M. Kropp, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 305 E New York Ave, Deland, FL 32724 Phone: 386-734-2931 Fax: 386-734-2939 | |
Khaled Moumneh, DO, MSC Ophthalmology Medicare: Medicare Enrolled Practice Location: 1592 S Sr 15a, Deland, FL 32720 Phone: 386-734-2931 Fax: 386-734-2939 | |
Dr. Kourosh Nazari, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 801 N Stone St, Deland, FL 32720 Phone: 386-734-4431 Fax: 386-738-1045 | |
Ryan Scruggs, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1592 South State Road 15-a, Deland, FL 32720 Phone: 386-734-2931 |