Kaela Jean Dolezel, APRN | |
4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573-6825 | |
(813) 633-3955 | |
Not Available |
Full Name | Kaela Jean Dolezel |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4051 Upper Creek Dr Ste 103b, Sun City Center, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295291136 | NPI | - | NPPES |
110685100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11001489 (Florida) | Primary |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
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Kaela Jean Dolezel, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Kaela Jean Dolezel, APRN 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573-6825 Ph: (813) 633-3955 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 | |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 | |
Guedry Edouard, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15407 Ibis Fall Pl, Sun City Center, FL 33573 Phone: 239-692-1157 | |
Jill Willard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 |