Alan John De La Vina, NP | |
1109 Brielle Ct, Oviedo, FL 32765-5404 | |
(863) 669-3415 | |
Not Available |
Full Name | Alan John De La Vina |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1109 Brielle Ct, Oviedo, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699418483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | RN9530854 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN11028542 (Florida) | Primary |
Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
Entity Name | Revive Transitional Care And In Home Primary Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851096796 PECOS PAC ID: 3870950868 Enrollment ID: O20230607000359 |
Mailing Address | Practice Location Address |
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Alan John De La Vina, NP 1109 Brielle Ct, Oviedo, FL 32765-5404 Ph: () - | Alan John De La Vina, NP 1109 Brielle Ct, Oviedo, FL 32765-5404 Ph: (863) 669-3415 |
Yun Zhao, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Augustine Ct, Oviedo, FL 32765 Phone: 919-918-7883 | |
Natassja Juliette Debra, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1942 W County Road 419, Oviedo, FL 32766 Phone: 407-603-9134 | |
Mr. Ibrahim Shraim, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Red Bug Lake Rd Ste 1008, Oviedo, FL 32765 Phone: 407-542-0911 Fax: 407-542-0950 | |
Rusha Khanal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1341 Lukas Acres Way, Oviedo, FL 32765 Phone: 617-840-5541 | |
Norisha Quinones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8300 Red Bug Lake Rd, Oviedo, FL 32765 Phone: 440-890-2273 | |
Angel Antono Ponte Aldana, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2660 Sweet Magnolia Pl, Oviedo, FL 32765 Phone: 321-501-8019 | |
Kristen Elaine Klaus, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2234 Blossomwood Dr, Oviedo, FL 32765 Phone: 407-907-5577 |