Ingrid Suazo, | |
14615 Crescent Rock Dr, Wimauma, FL 33598-6186 | |
(813) 898-3536 | |
Not Available |
Full Name | Ingrid Suazo |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14615 Crescent Rock Dr, Wimauma, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639715741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11024608 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Ingrid Suazo, 14615 Crescent Rock Dr, Wimauma, FL 33598-6186 Ph: (813) 453-0028 | Ingrid Suazo, 14615 Crescent Rock Dr, Wimauma, FL 33598-6186 Ph: (813) 898-3536 |
Elizabeth L Roszel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 State Road 674, Wimauma, FL 33598 Phone: 813-633-8555 Fax: 813-349-7861 | |
Rose Lasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 Hwy 674, Wimauma, FL 33598 Phone: 813-653-6100 | |
Luis Antonio Garcia Alvarado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10838 Standing Stone Dr, Wimauma, FL 33598 Phone: 813-802-5932 | |
Maureen Diane Amilca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10623 Massimo Dr, Wimauma, FL 33598 Phone: 321-693-3395 | |
Ronsae Mallard, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10803 Carloway Hills Dr, Wimauma, FL 33598 Phone: 386-288-5697 | |
Jacqueline Maldonado, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14427 Barley Field Dr, Wimauma, FL 33598 Phone: 813-784-9640 |