| Souheil Moussly, MD | |
|
3890 Turtle Creek Dr, Port Orange, FL 32129 | |
| (386) 756-4400 | |
| (386) 756-3031 |
| Full Name | Souheil Moussly |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 49 Years |
| Location | 3890 Turtle Creek Dr, Port Orange, 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 |
|---|---|---|---|
| 1063524577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME00050810 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ebenezer Medical Center Orlando Corp. | 8426424292 | 2 |
| Entity Name | Health First Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609218098 PECOS PAC ID: 2062646227 Enrollment ID: O20131002000239 |
| Entity Name | Ebenezer Medical Center Orlando Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265178131 PECOS PAC ID: 8426424292 Enrollment ID: O20221019001287 |
| Mailing Address | Practice Location Address |
|---|---|
| Souheil Moussly, MD 3890 Turtle Creek Dr, Port Orange, FL 32129 Ph: (386) 756-4400 | Souheil Moussly, MD 3890 Turtle Creek Dr, Port Orange, FL 32129 Ph: (386) 756-4400 |
Vrushak Deshpande, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802 | |
Andrea Soledad Pagan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802 | |
Dr. Gregory J. Stella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-788-4255 | |
Hardik Shah, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 | |
Robert Morris Harpold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3953 S Nova Rd Ste B, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186 | |
Dr. Ashraf S Elsakr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Dunlawton Ave, Ste A, Port Orange, FL 32127 Phone: 386-304-9672 Fax: 386-304-9673 |