| Kelly Van Truong, | |
|
3476 S University Dr, Davie, FL 33328-2000 | |
| (954) 475-4400 | |
| Not Available |
| Full Name | Kelly Van Truong |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 3476 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528848637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA871 (Florida) | Primary |
| Entity Name | Anesthesia Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Van Truong, 1301 Sw 80th Ter Apt 127, Plantation, FL 33324-4075 Ph: () - | Kelly Van Truong, 3476 S University Dr, Davie, FL 33328-2000 Ph: (954) 475-4400 |
Mr. Michael Nichols, AA-C Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1255 Fax: 954-262-1181 | |
Christina John, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3301 College Ave, Davie, FL 33314 Phone: 800-541-6682 | |
Noah Stapleton, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 S University Dr, Davie, FL 33328 Phone: 954-262-1255 | |
Milan Iglesias Pereira, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Noah Aaron Deutsch, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4346 | |
Shakera Mangaroo, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 |