| Daisy Renteria, PA | |
|
4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | |
| (407) 322-8645 | |
| Not Available |
| Full Name | Daisy Renteria |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4930 E Lake Mary Blvd, Sanford, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124696588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1735 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Central Florida Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740251883 PECOS PAC ID: 3870519234 Enrollment ID: O20051015000027 |
| Entity Name | Abu Azizullah MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609064724 PECOS PAC ID: 7719075787 Enrollment ID: O20071109000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy Renteria, PA 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 | Daisy Renteria, PA 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 |
Mrs. Sandra Verret Joachim, RPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771 Phone: 407-323-5999 |
Mrs. Kristen Marie Grider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 W 1st St, Sanford, FL 32771 Phone: 407-322-4431 Fax: 407-322-4448 |
John Simonson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 N Mangoustine Ave Unit G, Sanford, FL 32771 Phone: 321-363-1754 Fax: 321-363-3336 |
Matthew Combes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771 Phone: 321-348-4838 Fax: 407-303-7752 |
Jennifer Wheeler, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771 Phone: 407-321-4500 |
Ahla Husain, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1403 Medical Plaza Dr Ste 207, Sanford, FL 32771 Phone: 321-364-0728 Fax: 321-364-0729 |
Kimberly Thornton Blake, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1401 W Seminole Blvd, Sanford, FL 32771 Phone: 800-893-9698 |