| Jimi Williamceau, | |
| 
					6900 Daniels Pkwy Ste 23a, Fort Myers, FL 33912-1586  | |
| (239) 349-3539 | |
| (239) 217-7469 | 
| Full Name | Jimi Williamceau | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6900 Daniels Pkwy Ste 23a, Fort Myers, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902631948 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11035145 (Florida) | Primary | 
| Entity Name | Millennium Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338  | 
| Entity Name | At Home Md | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578270096 PECOS PAC ID: 5890169015 Enrollment ID: O20230329001823  | 
| Entity Name | Quantum Practitioner Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194426197 PECOS PAC ID: 7214392810 Enrollment ID: O20230504001086  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jimi Williamceau, 15050 Elderberry Ln Unit 6-10, Fort Myers, FL 33907-8504 Ph: (239) 537-1260  | Jimi Williamceau, 6900 Daniels Pkwy Ste 23a, Fort Myers, FL 33912-1586 Ph: (239) 349-3539  | 
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107  | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250  | |
Violeta Fay Marie Calhoun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9369 Golden Rain Ln, Fort Myers, FL 33967 Phone: 239-410-6584 Fax: 727-954-6546  | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101  | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063  | |
Sarah Elizabeth Long,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700  | |
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249  |