| Jae Heo, PA-C | |
|
201 N Park Ave Ste 105, Apopka, FL 32703 | |
| (407) 889-1953 | |
| (407) 303-0845 |
| Full Name | Jae Heo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 201 N Park Ave Ste 105, Apopka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730625443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT 9110124 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9110124 (Florida) | Primary |
| 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 | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Cardiovascular Institute of Central Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679666598 PECOS PAC ID: 2769587146 Enrollment ID: O20070412000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Heo, PA-C 201 N Park Ave Ste 105, Apopka, FL 32703-4147 Ph: (407) 889-1953 | Jae Heo, PA-C 201 N Park Ave Ste 105, Apopka, FL 32703 Ph: (407) 889-1953 |
Mr. Michael Everett Palmer Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 424 N Park Ave, Apopka, FL 32712 Phone: 407-886-0611 |
Mr. Timothy Joseph Hirsch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Ocoee Apopka Rd, Apopka, FL 32703 Phone: 407-844-7986 |
Brian Thomas Kalsto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 E 7th St, Apopka, FL 32703 Phone: 407-905-8827 Fax: 407-886-4282 |
Wendy Pozo Padron, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1453 Harvey Ct, Apopka, FL 32712 Phone: 407-409-2184 |
Wayne M Gardner, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3844 Brantley Place Cir, Apopka, FL 32703 Phone: 407-733-5464 |
Shannon M Osorio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 618 S Forest Ave, Apopka, FL 32703 Phone: 407-905-8827 Fax: 407-886-3822 |
Tomilola Kolade, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5481 Hunter Jumper Ln, Apopka, FL 32712 Phone: 347-608-7192 |