Jaison Chakkappan Eluvathingal, NURSE PRACTITONER | |
8958 W State Road 84 Ste 342, Davie, FL 33324-4457 | |
(914) 602-6209 | |
Not Available |
Full Name | Jaison Chakkappan Eluvathingal |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8958 W State Road 84 Ste 342, Davie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891110342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9315515 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9315515 (Florida) | Primary |
Entity Name | Comprehensive Psychiatric Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942525860 PECOS PAC ID: 0840483236 Enrollment ID: O20101018001051 |
Entity Name | J & G Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184042079 PECOS PAC ID: 2860700408 Enrollment ID: O20151001001781 |
Mailing Address | Practice Location Address |
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Jaison Chakkappan Eluvathingal, NURSE PRACTITONER 8958 W State Road 84 Ste 342, Davie, FL 33324-4457 Ph: (914) 602-6209 | Jaison Chakkappan Eluvathingal, NURSE PRACTITONER 8958 W State Road 84 Ste 342, Davie, FL 33324-4457 Ph: (914) 602-6209 |
Alexa Bock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Olde Moat Way, Davie, FL 33331 Phone: 954-328-0736 | |
Shashtika Ghimire Guragain, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 S University Dr, Davie, FL 33328 Phone: 954-276-3400 Fax: 954-276-0644 | |
Meisha Escoffery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13380 Sw 29th Ct, Davie, FL 33330 Phone: 954-614-7611 | |
Mrs. Martine Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 N. University Dr., Davie, FL 33024 Phone: 954-804-6607 | |
Ms. Tiffany Marie Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4610 S University Dr, Davie, FL 33328 Phone: 954-434-2002 | |
Jean Paul Sainvil, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2264 Nova Village Dr, Davie, FL 33317 Phone: 305-761-6143 | |
Charlotte Lee Vinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10181 Sw 18th St, Davie, FL 33324 Phone: 954-330-3565 |