| Philip Lacson, PA-C | |
|
18100 Ne 19th Ave, #102, North Miami Beach, FL 33162-1606 | |
| (305) 949-6003 | |
| (305) 948-3911 |
| Full Name | Philip Lacson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 18100 Ne 19th Ave, North Miami Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144650201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9107668 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA 9107668 (Florida) | Primary |
| Entity Name | Knd Development 59 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
| Entity Name | Waddah Allaf MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376661 PECOS PAC ID: 4486810512 Enrollment ID: O20120718000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Lacson, PA-C 18100 Ne 19th Ave, #102, North Miami Beach, FL 33162-1606 Ph: (305) 949-6003 | Philip Lacson, PA-C 18100 Ne 19th Ave, #102, North Miami Beach, FL 33162-1606 Ph: (305) 949-6003 |
Kristina Rajic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Nw 170th St Ste 301, North Miami Beach, FL 33169 Phone: 347-840-4887 |
Ms. Maria Paola Pazmino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16800 Nw 2nd Ave, Suite 202, North Miami Beach, FL 33169 Phone: 305-653-6365 |
Nathalie Salamanca, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Nw 170th St Ste 301, North Miami Beach, FL 33169 Phone: 305-651-3038 Fax: 305-655-1153 |
Shelby Lynn Skulley, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Nw 170th St Ste 301, North Miami Beach, FL 33169 Phone: 305-651-3038 Fax: 305-655-1153 |
Alexandra Valencia, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Nw 170th St Ste 301, North Miami Beach, FL 33169 Phone: 305-651-3038 |
Marie Elise Chrest, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Nw 170th St Ste 301, North Miami Beach, FL 33169 Phone: 305-651-3033 Fax: 305-655-1153 |
Maria Margarita Salado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18300 Ne 18 Ave, North Miami Beach, FL 33131 Phone: 305-512-0075 |