| |
801 N Magnolia Ave Ste 401 Orlando FL 32803-3844 | |
(321) 800-2922 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 801 N Magnolia Ave Ste 401, Orlando, Florida |
Authorized Official Name and Position | Nicole Stewart (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3218002922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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801 N Magnolia Ave Ste 401 Orlando FL 32803-3844 Ph: (321) 800-2922 | 801 N Magnolia Ave Ste 401 Orlando FL 32803-3844 Ph: (321) 800-2922 |
NPI Number | 1558627117 |
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Provider Enumeration Date | 04/09/2012 |
Last Update Date | 12/11/2024 |
Certification Date | 12/11/2024 |
Medicare PECOS PAC ID | 1951539220 |
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Medicare Enrollment ID | O20140113000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558627117 | NPI | - | NPPES |
Provider Name | Daniella Renee Arrogante |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831270677 PECOS PAC ID: 7810062577 Enrollment ID: I20080815000229 |
Provider Name | Catherine S Ernotte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205102456 PECOS PAC ID: 5496917684 Enrollment ID: I20120504000271 |
Provider Name | David Baker-hargrove |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326052127 PECOS PAC ID: 1052549342 Enrollment ID: I20140113001278 |
Provider Name | Suzanne Ben-kane |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801117213 PECOS PAC ID: 9739338815 Enrollment ID: I20160211001358 |
Provider Name | Steve Seals |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891208765 PECOS PAC ID: 1153681606 Enrollment ID: I20180201002082 |
Provider Name | Andrew J Migliaccio |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225473945 PECOS PAC ID: 0143526129 Enrollment ID: I20180919000117 |
Provider Name | Jill Ashley Coltrin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326498775 PECOS PAC ID: 8921342551 Enrollment ID: I20181207001136 |
Provider Name | Krisinda J Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669914941 PECOS PAC ID: 2668748542 Enrollment ID: I20190122001049 |
Provider Name | Michelle N Pozsonyi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801366984 PECOS PAC ID: 7517207707 Enrollment ID: I20190326002170 |
Provider Name | Stephanie Lynn Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306356290 PECOS PAC ID: 7416214036 Enrollment ID: I20200330001065 |
Provider Name | Elizabeth B Guelde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811324585 PECOS PAC ID: 9234458860 Enrollment ID: I20200501000042 |
Provider Name | Kiara K Stokes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437795986 PECOS PAC ID: 5991196750 Enrollment ID: I20220105001369 |
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