Dr Nicole Marie Canada, MD | |
250 2nd St E Ste 4g, Bradenton, FL 34208-1028 | |
(941) 708-8199 | |
(941) 708-8194 |
Full Name | Dr Nicole Marie Canada |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 250 2nd St E Ste 4g, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912997180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME131703 (Florida) | Primary |
Entity Name | Lakeland Regional Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
Entity Name | Vitalmd Group Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Entity Name | Manatee Memorial Hospital L P |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Marie Canada, MD 367 S. Gulph Rd, Att Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (941) 708-8199 | Dr Nicole Marie Canada, MD 250 2nd St E Ste 4g, Bradenton, FL 34208-1028 Ph: (941) 708-8199 |
Anthony J Montanaro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1533 4th Ave W, Bradenton, FL 34205 Phone: 941-527-0259 Fax: 941-527-0263 | |
Svetlana Kovtunova, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-845-4963 | |
Dr. Tiffany Solorzano Hubman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-745-7286 | |
Dr. Robert E Blackwood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7005 Cortez Rd W, Bradenton, FL 34210 Phone: 941-792-2122 Fax: 941-798-2019 | |
Marcella P Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5534 Cortez Rd W, Bradenton, FL 34210 Phone: 941-757-2100 Fax: 941-757-2101 | |
Kelly Duggin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd, Suite 210, Bradenton, FL 34202 Phone: 941-782-2800 Fax: 941-782-2513 | |
Dr. Michael Andrew Howell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Manatee Ave W, Bradenton, FL 34205 Phone: 941-896-8676 Fax: 941-896-8681 |