Timothy Davlantes (NPI# 1003805961, PAC ID# 5092859488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003805961 |
| PAC ID by PECOS | 5092859488 |
| Professional Enrollment ID | I20100223000807 |
| Full Name | Timothy Davlantes |
| Organization Legal Name | MAYO CLINIC JACKSONVILLE |
| Address |
1003 York Rd Ponte Vedra Beach FL 32082-3116 |
| Phone Number | 9042731701 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5698689297 |
| Number of Group Practice Members | 927 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100151 | MAYO CLINIC FLORIDA |
| Address | Phone | Organization |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 9049532000 | MAYO CLINIC JACKSONVILLE |
| 1003 York Rd, Ponte Vedra Beach, FL 32082-3116 | 9042731701 | MAYO CLINIC JACKSONVILLE |
| Organization Legal Name | MAYO CLINIC JACKSONVILLE |
| Physicians | 955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn G Shi | Orthopedic Surgery | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Samantha E Holtzman | Physician Assistant | Mayo Clinic Jacksonville | 742 Marsh Landing Pkwy, Jacksonville, FL 32250-5850 |
| Pragnesh P Parikh | Cardiovascular Disease (cardiology) | Mayo Clinic Jacksonville | 110 Southwood Lake Dr, Saint Augustine, FL 32086-7286 |
| Michelle A Tulang | Internal Medicine | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Ricardo J Pagan | Hospitalist | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Crystal S Lynn | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Lauren E Freed | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Jessica Naomi Pelkowski | Nurse Practitioner | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Steven Jerry Lomax | Urology | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Amanda Anne Myers | Urology | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Street Address |
1003 YORK RD |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip | 32082-3116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Grimard | Family Medicine | Mayo Clinic Jacksonville | 1003 York Rd, Ponte Vedra Beach, FL 32082-3116 |
| Paul F Roberts | Family Medicine | Mayo Clinic Jacksonville | 1003 York Rd, Ponte Vedra Beach, FL 32082-3116 |
| Rueben H Mcbrayer | Family Medicine | Mayo Clinic Jacksonville | 1003 York Rd, Ponte Vedra Beach, FL 32082-3116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abubakr A Bajwa | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 |
| Cecilia C Olazar | Rheumatology | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 | |
| Jane Y Hill | Clinical Social Worker | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| David M Harvey | Psychologist, Clinical | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| Joan Simon | Clinical Psychologist | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| Michael Haghighi | Family Practice | 820 A1a, Suite E 9, Ponte Vedra, FL 32082-1400 | |
| Shahid M Nasir | Diagnostic Radiology | 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1826 | |
| Megan E Deacon-casey | Interventional Radiology | 330 A1a, Suite 321, Ponte Vedra Beach, FL 32082-1826 | |
| Timothy David Sharpe | Physician Assistant | 130 Indian Cove Ln, Ponte Vedra Beach, FL 32082-2168 | |
| Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
| Find all physicians in zip 32082 | |||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PONTE VEDRA BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy Davlantes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.