Desiree A Douglas, APRN | |
13908 Lakeshore Blvd Ste 250, Hudson, FL 34667-1492 | |
(727) 846-9419 | |
(727) 848-6200 |
Full Name | Desiree A Douglas |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 13908 Lakeshore Blvd Ste 250, Hudson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740916949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN9337405 (Florida) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | APRN11011189 (Florida) | Primary |
Entity Name | Allied Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558089367 PECOS PAC ID: 1052776366 Enrollment ID: O20230420000387 |
Mailing Address | Practice Location Address |
---|---|
Desiree A Douglas, APRN 6698 297th Ave N, Clearwater, FL 33761-1615 Ph: (239) 633-5221 | Desiree A Douglas, APRN 13908 Lakeshore Blvd Ste 250, Hudson, FL 34667-1492 Ph: (727) 846-9419 |
Amanda Nicole Durrett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14153 Yosemite Dr Ste 104, Hudson, FL 34667 Phone: 727-605-3000 Fax: 727-378-4809 | |
Mrs. Courtney Bryan, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13626 Newport Shores Dr, Hudson, FL 34669 Phone: 727-992-0928 | |
Jasmin Lipat Sullivan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8405 Reynolds Dr, Hudson, FL 34667 Phone: 727-313-7296 | |
Geraldine Bailey, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13235 State Road 52 Ste 102, Hudson, FL 34669 Phone: 727-378-8503 Fax: 727-857-7807 | |
Nicole Lourine Baldwin, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Inna Kulyna, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14100 Fivay Rd Ste 130, Hudson, FL 34667 Phone: 727-857-4871 Fax: 727-857-4894 | |
Mark Felix Roldan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 Phone: 727-605-0252 Fax: 727-605-0254 |