Ileana Modelo, ARNP | |
8911 Collins Ave Apt 804, Surfside, FL 33154-3546 | |
(305) 333-2950 | |
Not Available |
Full Name | Ileana Modelo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8911 Collins Ave Apt 804, Surfside, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881052181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9251628 (Florida) | Primary |
Entity Name | Wound Technology Network, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
Mailing Address | Practice Location Address |
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Ileana Modelo, ARNP 8911 Collins Ave Apt 804, Surfside, FL 33154-3546 Ph: (305) 333-2950 | Ileana Modelo, ARNP 8911 Collins Ave Apt 804, Surfside, FL 33154-3546 Ph: (305) 333-2950 |
Nayara Dones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8966 Collins Ave Apt 204, Surfside, FL 33154 Phone: 781-608-6248 | |
Louisa Kathryn Agresti, PHMNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 95th St, Surfside, FL 33154 Phone: 305-407-6031 | |
Maria Isabel Velis, ARNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9225 Collins Ave Apt Phe, Surfside, FL 33154 Phone: 786-499-9857 | |
Anyisel Darboys, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9289 Byron Ave, Surfside, FL 33154 Phone: 786-897-9699 |