Philip Todd Devane (NPI# 1538150891, PAC ID# 3870627904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1538150891 |
| PAC ID by PECOS | 3870627904 |
| Professional Enrollment ID | I20100811000827 |
| Full Name | Philip Todd Devane |
| Organization Legal Name | AMELIA INTERNAL MEDICINE PA |
| Address |
1250 S 18th St Suite 202 Fernandina Bch FL 32034-4729 |
| Phone Number | 9042774690 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4385617224 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100001 | SHANDS JACKSONVILLE |
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 830 N Mills Ave, Arcadia, FL 34266-8780 | 8634946599 | MILLENNIUM PHYSICIAN GROUP LLC |
| 31075 Cortez Blvd, Brooksville, FL 34602-7542 | 3527965303 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 | 9042774690 | AMELIA INTERNAL MEDICINE PA |
| 1250 S 18th St, Suite 202, Fernandina Beach, FL 32034-4729 | 9042774690 | MILLENNIUM PHYSICIAN GROUP LLC |
| 11513 N Main St, Jacksonville, FL 32218-4002 | 9047516200 | MILLENNIUM PHYSICIAN GROUP LLC |
| 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 9412553535 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | AMELIA INTERNAL MEDICINE PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Lee Mazingo | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Mary Rebecca Herbert | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Alana N Smith | Physician Assistant | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Matthew T Collins | Physician Assistant | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Jennifer Lin Harper | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Henry Dewitt Rodeffer | Internal Medicine | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Nicole Marie Mischler | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Gerald Bowden Burford | Internal Medicine | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Susan E Oconnor | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Street Address |
1250 S 18TH ST SUITE 202 |
| City | FERNANDINA BCH |
| State | FL |
| Zip | 32034-4729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Benjamin Brenes | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Lucia L Owens | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Walter L Shelton Iii | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Abigail Lee Mazingo | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Kathleen Mary Mcchristian | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Mary Rebecca Herbert | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Todd L Murphy | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Alana N Smith | Physician Assistant | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Karilyn A Holden | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly C Durham | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Patricia Lynne Shelly-lohman | Qualified Audiologist | 1411 S 14 St, Suite F, Fernandina Beach, FL 32034 | |
| Elizabeth Harrelson-lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Thomas P Beckerton | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Joseph M Lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Marcelo C Darabos | Emergency Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Dimitrios P Agaliotis | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Emeka J Okoli | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Find all physicians in zip 32034 | |||
| City | FERNANDINA BCH |
| Zip Code | 32034 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FERNANDINA BCH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Philip Todd Devane.
| 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.