| Theron Ebel, MD | |
|
3000 Medical Park Dr, Suite 190, Tampa, FL 33613-4680 | |
| (813) 977-7794 | |
| (813) 355-5067 |
| Full Name | Theron Ebel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 3000 Medical Park 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 |
|---|---|---|---|
| 1801904347 | NPI | - | NPPES |
| 260189300 | Medicaid | FL | |
| P00273074 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME20283 (Florida) | Primary |
| Entity Name | Florida Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Entity Name | Ohi West Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Theron Ebel, MD 38135 Market Square, Zephyrhills, FL 33542 Ph: (813) 528-4975 | Theron Ebel, MD 3000 Medical Park Dr, Suite 190, Tampa, FL 33613-4680 Ph: (813) 977-7794 |
Chhavi Gupta, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 508 S Habana Ave., Suite 270, Tampa, FL 33609 Phone: 813-388-1732 Fax: 813-864-9292 | |
Dr. Luis Leon Alvarado, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Va 111, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-631-3423 | |
Aniqa Shahrier, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3003 W Dr Martin Luther King Jr Blvd Fl 3, Tampa, FL 33607 Phone: 877-537-4787 | |
Sriprintha Navarathinarajah, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5130 Sunforest Dr Ste 300, Tampa, FL 33634 Phone: 727-824-0780 Fax: 813-514-8891 | |
Dr. Olga Kaliebe, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2919 W Swann Ave Ste 105b, Tampa, FL 33609 Phone: 813-392-1900 Fax: 813-392-1901 | |
William Dinwoodie, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Mdc 44, Tampa, FL 33612 Phone: 813-745-3980 Fax: 813-745-7229 | |
Jason B Klapman, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |