Christopher Patino, | |
8000 Governors Sq Blvd Ste 201, Miami Lakes, FL 33016-6204 | |
(305) 512-0075 | |
Not Available |
Full Name | Christopher Patino |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 8000 Governors Sq Blvd Ste 201, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053895078 | NPI | - | NPPES |
115558700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APRN9348711 (Florida) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 9348711 (Florida) | Secondary |
Entity Name | Wellcare Med Group Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235793357 PECOS PAC ID: 2466884416 Enrollment ID: O20191113003287 |
Mailing Address | Practice Location Address |
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Christopher Patino, 18741 Nw 24th Ct, Pembroke Pines, FL 33029-5352 Ph: () - | Christopher Patino, 8000 Governors Sq Blvd Ste 201, Miami Lakes, FL 33016-6204 Ph: (305) 512-0075 |
Jocelyne E Blanco, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6510 Main St Apt 203, Miami Lakes, FL 33014 Phone: 786-203-9182 | |
Priscilla Garcia, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7980 Nw 155th St, Miami Lakes, FL 33016 Phone: 305-418-0392 | |
Aniuska Ponce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Gleneagle Dr, Miami Lakes, FL 33014 Phone: 305-450-6337 | |
Mr. Luis Manuel Gomez Hernandez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016 Phone: 786-916-6073 Fax: 786-657-3092 | |
Rochelle Patrice Bradley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7942 Nw 164th Ter, Miami Lakes, FL 33016 Phone: 786-564-4092 | |
Yuliza Chao Cuba, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15105 Nw 77th Ave, Miami Lakes, FL 33014 Phone: 305-455-2737 Fax: 305-455-2738 |