| Jose Gabriel Lara, AA-C | |
|
9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | |
| (239) 343-5000 | |
| Not Available |
| Full Name | Jose Gabriel Lara |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 6 Years |
| Location | 9981 S Healthpark Dr, Fort Myers, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942822879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA576 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital Of Sarasota | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Coral Anesthesia Associates, Inc | 5193986131 | 47 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Coral Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255701306 PECOS PAC ID: 5193986131 Enrollment ID: O20120418000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Gabriel Lara, AA-C 7131 High Corner Rd, Brooksville, FL 34602-7492 Ph: () - | Jose Gabriel Lara, AA-C 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 Ph: (239) 343-5000 |
Felicia Nicole Reeves, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 954-759-1985 | |
Morgan Victoria Gloster Osinga, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Katelyn Van De Water, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Bruna Gomes Marciante, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 407-667-0444 | |
Steven Zombory, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Vanessa Ordonez, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Benjamin Howard Lippitt, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5000 |