| Teodoro Medina, MD | |
|
111 Webb Dr, Davenport, FL 33837-3962 | |
| (863) 421-9447 | |
| (863) 421-1806 |
| Full Name | Teodoro Medina |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 26 Years |
| Location | 111 Webb Dr, Davenport, 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 |
|---|---|---|---|
| 1093852113 | NPI | - | NPPES |
| TW49T | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 14489 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN 793 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 71 |
| Entity Name | Roy H Hinman Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Island Doctors Intrastate Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Teodoro Medina, MD 6675 Westwood Blvd, Ste 475, Orlando, FL 32821 Ph: (407) 845-0330 | Teodoro Medina, MD 111 Webb Dr, Davenport, FL 33837-3962 Ph: (863) 421-9447 |
Dr. Jordan Martinez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Dr. Tamara Ivelisse Guzman Rodriguez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 130 Ridge Center Dr, Davenport, FL 33837 Phone: 866-234-8534 | |
Dr. Enrique Rafael Martinez-lugo, MD General Practice Medicare: Medicare Enrolled Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Wolf Karl Von Waagner, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 2306 North Blvd W Ste C, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 | |
Mrs. Melissa Aime Rivera Santiago, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 40230 U.s. 27 N, Ste 130, Davenport, FL 33837 Phone: 352-259-2159 | |
Dr. Luis Miguel Nunez Arroyo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2306 North Blvd W, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 |