| Emily Gore, | |
|
100080 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987 | |
| (772) 344-3811 | |
| Not Available |
| Full Name | Emily Gore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 100080 Sw Innovation Way, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659017309 | NPI | - | NPPES |
| Entity Name | Martin Memorial Physicians Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Entity Name | Martin Memorial Physicians Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154962918 PECOS PAC ID: 7315833555 Enrollment ID: O20200717000139 |
| Entity Name | Tradition Health And Wellness Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720840168 PECOS PAC ID: 8224477013 Enrollment ID: O20240412001175 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Gore, 1020 Lake Sumter Lndg, The Villages, FL 32162-2699 Ph: (352) 674-8905 | Emily Gore, 100080 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987 Ph: (772) 344-3811 |
Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400 | |
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313 | |
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008 | |
Remi Dieujuste, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1226 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-666-1801 | |
Diana Isabel Clavijo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7549 Nw Greenspring St, Port St Lucie, FL 34987 Phone: 954-274-5691 | |
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161 | |
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 |