| Damon Florian Dicharry, PA | |
|
2200 Osprey Blvd, Bartow, FL 33830-3308 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Damon Florian Dicharry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2200 Osprey Blvd, Bartow, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811275381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA106087 (Florida) | Primary |
| Entity Name | Bay Area Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164459095 PECOS PAC ID: 2668368952 Enrollment ID: O20040224000862 |
| Entity Name | Pasco County Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568771707 PECOS PAC ID: 7911196241 Enrollment ID: O20110118000666 |
| Entity Name | Fl-i Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Florian Dicharry, PA 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Damon Florian Dicharry, PA 2200 Osprey Blvd, Bartow, FL 33830-3308 Ph: (800) 893-9698 |
Mrs. Skylar Ann Dial, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 863-533-8111 Fax: 863-519-1432 |
Korey Edward Koper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 800-229-2273 |