Alyssa Jane Grundon, | |
1001 E Osceola Pkwy Ste 230, Kissimmee, FL 34744-1616 | |
(407) 847-6166 | |
(407) 847-5112 |
Full Name | Alyssa Jane Grundon |
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Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 1001 E Osceola Pkwy Ste 230, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154963809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9408793 (Florida) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APRN11015726 (Florida) | Primary |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
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Alyssa Jane Grundon, 1001 E Osceola Pkwy Ste 230, Kissimmee, FL 34744-1616 Ph: (407) 847-6166 | Alyssa Jane Grundon, 1001 E Osceola Pkwy Ste 230, Kissimmee, FL 34744-1616 Ph: (407) 847-6166 |
Mrs. Melinda Christine Vazquez, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 321-746-6132 | |
Angelisse Marie Martinez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3230 Hillsdale Ln, Kissimmee, FL 34741 Phone: 407-785-1967 | |
Mr. Gabriel Josue Sustache Mercado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Pleasant Hill Rd, Kissimmee, FL 34746 Phone: 866-389-2727 | |
Colleen R Roblin, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-518-3626 Fax: 407-518-3164 | |
Marie De Jesus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5308 W Irlo Bronson Hwy, Kissimmee, FL 34746 Phone: 407-733-2635 | |
Deanna Marie Salguero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Robert Anthony Otero, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3098 Eagle Crossing Dr, Kissimmee, FL 34746 Phone: 407-201-2680 Fax: 407-201-2680 |