| Daniel Shmakov, CAA | |
|
8900 N Kendall Dr, Miami, FL 33176-2118 | |
| (786) 596-3621 | |
| Not Available |
| Full Name | Daniel Shmakov |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 8900 N Kendall Dr, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114640638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA795 (Florida) | Primary |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Shmakov, CAA 9055 Sw 73rd Ct Apt 906, Miami, FL 33156-2952 Ph: (678) 907-8318 | Daniel Shmakov, CAA 8900 N Kendall Dr, Miami, FL 33176-2118 Ph: (786) 596-3621 |
Ivette Alfonso, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8950 N Kendall Dr, Miami, FL 33176 Phone: 786-596-3621 | |
Rudrine Angel Alexis, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Jacob Bodway, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 | |
Jordan Shapiro, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 305-595-4510 | |
Carlos Fernando Lacayo, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-3621 | |
Valentina Garcia, C-AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-666-6511 |