Elena Marie Eldridge, APRN | |
1418 Bloomingdale Ave, Valrico, FL 33596-6110 | |
(813) 272-0171 | |
Not Available |
Full Name | Elena Marie Eldridge |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1418 Bloomingdale Ave, Valrico, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588938989 | NPI | - | NPPES |
104418100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9179672 (Florida) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | ARNP9179672 (Florida) | Secondary |
Entity Name | Tampa Family Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043 |
Entity Name | Life Solutions Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508345521 PECOS PAC ID: 1052656618 Enrollment ID: O20181231000973 |
Entity Name | Prestige Health & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811650831 PECOS PAC ID: 5395122279 Enrollment ID: O20220516000085 |
Mailing Address | Practice Location Address |
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Elena Marie Eldridge, APRN 1418 Bloomingdale Ave, Valrico, FL 33596-6110 Ph: (813) 252-0171 | Elena Marie Eldridge, APRN 1418 Bloomingdale Ave, Valrico, FL 33596-6110 Ph: (813) 272-0171 |
Cha Quanda Wade, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2619 Shilo Ct, Valrico, FL 33596 Phone: 813-508-3197 | |
Christine Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4320 Bell Shoals Rd, Valrico, FL 33596 Phone: 813-571-1111 | |
Jennifer Dawn Clyatt, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 260, Valrico, FL 33596 Phone: 813-725-7220 Fax: 813-725-7221 | |
Jordan Dorsey, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2721 Brianholly Dr, Valrico, FL 33596 Phone: 813-431-9147 | |
Lauren Cathryn Endick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Mason Oaks Dr, Valrico, FL 33596 Phone: 813-940-6046 Fax: 866-451-4607 | |
Brittney Poole Gurski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3444 Lithia Pinecrest Rd, Valrico, FL 33596 Phone: 813-643-9393 | |
Mrs. Kelly Bulaclac, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2946 Hickory Grove Dr, Valrico, FL 33596 Phone: 813-317-6005 |