Casey Isabel Diaz De Nacimiento, | |
8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | |
(239) 343-7400 | |
(239) 468-7942 |
Full Name | Casey Isabel Diaz De Nacimiento |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8925 Colonial Center Dr Ste 1000, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750125878 | NPI | - | NPPES |
123293900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11033536 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN110333536 (Florida) | Primary |
Entity Name | Genesiscare Usa Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
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Casey Isabel Diaz De Nacimiento, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-7400 | Casey Isabel Diaz De Nacimiento, 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 Ph: (239) 343-7400 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5030 Mason Corbin Ct, Fort Myers, FL 33907 Phone: 239-278-0330 Fax: 239-278-1345 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249 |