Kacey Smith, | |
300 S Main St Unit 2, Wildwood, FL 34785-4542 | |
(386) 299-8080 | |
Not Available |
Full Name | Kacey Smith |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 300 S Main St Unit 2, Wildwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104548981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11021601 (Florida) | Primary |
Entity Name | Emergency Physicians Of Central Florida Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326033341 PECOS PAC ID: 1850296567 Enrollment ID: O20031205000109 |
Mailing Address | Practice Location Address |
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Kacey Smith, 21253 S Buckhill Rd, Clermont, FL 34715-9066 Ph: (386) 299-8080 | Kacey Smith, 300 S Main St Unit 2, Wildwood, FL 34785-4542 Ph: (386) 299-8080 |
Mrs. Jessica Rae Richardson, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 | |
Mr. Jason David Azar, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Oxford St, Wildwood, FL 34785 Phone: 352-460-4268 | |
John Antonio Santos, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4669 E Sr 44 Ste 1, Wildwood, FL 34785 Phone: 352-399-7301 Fax: 352-792-1051 | |
Kristin Bell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 | |
Dung Tran, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Missouri Ave, Wildwood, FL 34785 Phone: 727-776-1296 | |
Mr. Michael William Smith, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Main St Ste 2, Wildwood, FL 34785 Phone: 352-643-6699 Fax: 888-675-8377 |