| Teodoro Medina, MD | |
|
1729 David Walker Dr, Tavares, FL 32778-5745 | |
| (352) 508-4455 | |
| Not Available |
| Full Name | Teodoro Medina |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 26 Years |
| Location | 1729 David Walker Dr, Tavares, 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 | ACN 793 (Florida) | Primary |
| 208D00000X | General Practice | 14489 (Puerto Rico) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora Health Services Inc | 1759290992 | 1125 |
| 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 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Teodoro Medina, MD 1729 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 508-4455 |
Aida Behani, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 212 E Main St, Tavares, FL 32778 Phone: 407-905-8827 Fax: 407-660-1667 |
Dr. Carlos J Colon, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 212 E Main St, Tavares, FL 32778 Phone: 407-905-8827 Fax: 407-905-8998 |