Jacob Xavior Witt, APRN | |
3340 Tamiami Trl, Port Charlotte, FL 33952-8088 | |
(941) 764-5858 | |
Not Available |
Full Name | Jacob Xavior Witt |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3340 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609306737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024174585 (Virginia) | Primary |
Entity Name | Pikeville Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053983908 PECOS PAC ID: 8123293818 Enrollment ID: O20170316001594 |
Mailing Address | Practice Location Address |
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Jacob Xavior Witt, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: () - | Jacob Xavior Witt, APRN 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 Ph: (941) 764-5858 |
Maria Lourdes Laquian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Maureen Ann Wertz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 855-674-7700 Fax: 941-764-8455 | |
Bobbi Hawver, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-743-4700 | |
Roxana Maria Rodriguez Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 877-856-3774 | |
Carla K Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Rita Felicia De Palma, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Ms. Carin Melanie Calabrese, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356 |