| Guedry Edouard, NP-C | |
|
15407 Ibis Fall Pl, Sun City Center, FL 33573-6782 | |
| (239) 692-1157 | |
| Not Available |
| Full Name | Guedry Edouard |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Critical Care Medicine |
| Location | 15407 Ibis Fall Pl, Sun City Center, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174387724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11031228 (Florida) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP11031228 (Florida) | Primary |
| Entity Name | West Florida Trauma Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902198948 PECOS PAC ID: 7911175658 Enrollment ID: O20110722000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Guedry Edouard, NP-C 15407 Ibis Fall Pl, Sun City Center, FL 33573-6782 Ph: (239) 692-1157 | Guedry Edouard, NP-C 15407 Ibis Fall Pl, Sun City Center, FL 33573-6782 Ph: (239) 692-1157 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 | |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 | |
Kaela Jean Dolezel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 | |
Jill Willard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 |