Jae Won Lim Layug, | |
405 Lionel Way, Davenport, FL 33837-7811 | |
(863) 353-1390 | |
(863) 438-4880 |
Full Name | Jae Won Lim Layug |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 405 Lionel Way, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104516491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 11026214 (Florida) | Primary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | 11026214 (Florida) | Secondary |
Entity Name | Nautilus Health Care Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
Mailing Address | Practice Location Address |
---|---|
Jae Won Lim Layug, 405 Lionel Way, Davenport, FL 33837-7811 Ph: (863) 353-1390 | Jae Won Lim Layug, 405 Lionel Way, Davenport, FL 33837-7811 Ph: (863) 353-1390 |
Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 | |
Genesis Marie Rodriguez Contreras, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39873 Highway 27 Ste 101, Davenport, FL 33837 Phone: 787-966-3321 | |
Ms. Robin Leigh Myers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Bunker Dr, Davenport, FL 33896 Phone: 412-720-1406 |