Brittany Caudle, | |
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | |
(863) 680-7000 | |
(866) 264-8519 |
Full Name | Brittany Caudle |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376274027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0000208272 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11021784 (Florida) | Primary |
Entity Name | Watson Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
Mailing Address | Practice Location Address |
---|---|
Brittany Caudle, 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 | Brittany Caudle, 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 |
Matthew Lee Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5701 Stratford Lane, Lakeland, FL 33813 Phone: 863-514-8640 | |
Nathan Yount, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd., Lakeland, FL 33805 Phone: 863-680-7830 Fax: 866-264-8519 | |
Anna M De La Torre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Grissell Rojas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 863-680-7420 | |
Johnnie Mae Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Ms. Emilee Rebecca Niekro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Mrs. Jessica Nicole Withrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7206 Fax: 866-264-8519 |