| Nicole Blankman, ARNP | |
|
490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189 | |
| (321) 821-4950 | |
| (321) 821-4955 |
| Full Name | Nicole Blankman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 490 Centre Lake Dr Ne Ste 200, Palm Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407558042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | APRN11019153 (Florida) | Primary |
| Entity Name | Medfast Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Blankman, ARNP 1414 Van Camp Ave Se, Palm Bay, FL 32909-5656 Ph: (321) 615-8720 | Nicole Blankman, ARNP 490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189 Ph: (321) 821-4950 |
Rebecca Fobes, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 New Ave Ne, Palm Bay, FL 32907 Phone: 321-282-1499 Fax: 321-256-6212 | |
Dr. Jose L Garcia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-434-3430 Fax: 321-434-3432 | |
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960 | |
Dr. Ming Tao Lai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 2, Palm Bay, FL 32907 Phone: 321-768-2356 Fax: 321-726-6388 | |
Mr. German Castro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905 Phone: 321-728-7222 Fax: 321-728-8823 | |
Dr. Richard Hernandez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-984-7695 | |
Frederick Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-724-9024 |