Jody Lee Moreno, | |
3440 Hollywood Blvd Ste 460, Hollywood, FL 33021-6933 | |
(954) 923-7440 | |
(866) 968-6339 |
Full Name | Jody Lee Moreno |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3440 Hollywood Blvd Ste 460, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508212796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9329228 (Florida) | Primary |
Entity Name | Wound Technology Network, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
Entity Name | Monogram Health Professional Services Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538883111 PECOS PAC ID: 0244608149 Enrollment ID: O20221128001413 |
Mailing Address | Practice Location Address |
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Jody Lee Moreno, 3991 Bruton Rd, Plant City, FL 33565-7023 Ph: (813) 716-9698 | Jody Lee Moreno, 3440 Hollywood Blvd Ste 460, Hollywood, FL 33021-6933 Ph: (954) 923-7440 |
Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431 | |
Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325 | |
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650 | |
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1957 Jackson St, Hollywood, FL 33020 Phone: 954-921-2600 | |
Jennifer Aphrodite Germain, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N 53rd Ave, Hollywood, FL 33021 Phone: 305-450-8698 | |
Linda C Barreras, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700 | |
Mrs. Christine M Browne, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Park Rd Ste 200, Hollywood, FL 33021 Phone: 954-923-7440 Fax: 954-923-1299 |