| My Next Chapter Llc | |
|
1044 E Brandon Blvd Brandon FL 33511-5509 | |
| (813) 403-4423 | |
| (813) 433-2431 |
| Full Name | My Next Chapter Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1044 E Brandon Blvd, Brandon, Florida |
| Authorized Official Name and Position | Arthur Greene (OWNER) |
| Authorized Official Contact | 8134034423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Next Chapter Llc 1044 E Brandon Blvd Brandon FL 33511-5509 Ph: (813) 403-4423 | My Next Chapter Llc 1044 E Brandon Blvd Brandon FL 33511-5509 Ph: (813) 403-4423 |
| NPI Number | 1841835543 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 5496185423 |
|---|---|
| Medicare Enrollment ID | O20200415001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841835543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Luisa Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558772657 PECOS PAC ID: 6406070184 Enrollment ID: I20140619001666 |
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