Jose L Medina Sr, ARNP F03240384 | |
1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | |
(352) 259-2159 | |
(352) 259-5731 |
Full Name | Jose L Medina Sr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1580 Santa Barbara Blvd, The Villages, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619735701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F0320384 (Florida) | Primary |
Entity Name | Premier Medical Associates All Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829442 PECOS PAC ID: 2365418019 Enrollment ID: O20041026000956 |
Entity Name | Premier Medical Associates Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366046179 PECOS PAC ID: 1557773413 Enrollment ID: O20201217000613 |
Entity Name | Premier Medical Associates Of Florida Healthcare, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
Mailing Address | Practice Location Address |
---|---|
Jose L Medina Sr, ARNP F03240384 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 Ph: (352) 259-2159 | Jose L Medina Sr, ARNP F03240384 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 Ph: (352) 259-2159 |
Tabitha Starr Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 Brownwood Blvd, The Villages, FL 32163 Phone: 844-884-9355 Fax: 352-674-8714 | |
Noelle Elizabeth Buonincontri, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969 | |
Sherrie Kay O'neal, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5208 E County Road 466, The Villages, FL 32162 Phone: 352-751-4700 | |
Uravbhai Patel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969 | |
Laura Megan Coffin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Heald Way Ste 208, The Villages, FL 32163 Phone: 352-399-7301 | |
Jaime Leavitt, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 | |
Evelyn Lois Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 |