| Farah Siddiquah Persad, | |
|
601 Gray Ave, Wildwood, FL 34785-3520 | |
| (352) 492-5611 | |
| Not Available |
| Full Name | Farah Siddiquah Persad |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 601 Gray Ave, Wildwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528436649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9108925 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9108925 (Florida) | Primary |
| Entity Name | Adventist Health System Sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | MD Now Medical Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033195474 PECOS PAC ID: 3971554825 Enrollment ID: O20050208000625 |
| Entity Name | Dispatchhealth-florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Farah Siddiquah Persad, 601 Gray Ave, Wildwood, FL 34785-3520 Ph: (352) 492-5611 | Farah Siddiquah Persad, 601 Gray Ave, Wildwood, FL 34785-3520 Ph: (352) 492-5611 |
Madeline Smiddy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4669 E Sr 44 Ste 101, Wildwood, FL 34785 Phone: 352-399-7301 |
Neil Ivan Delos Reyes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 Fern Ln, Wildwood, FL 34785 Phone: 352-233-5257 |
Tyler Jeffrey Mize, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 |
Minhdi Van, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7343 Powell Rd, Wildwood, FL 34785 Phone: 352-913-3376 |
Tracy M. Creel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 411 Webster St, Wildwood, FL 34785 Phone: 352-748-6689 Fax: 352-748-6381 |