Kaleb Sistrunk, ARNP-BC | |
275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | |
(321) 799-7777 | |
Not Available |
Full Name | Kaleb Sistrunk |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 275 W Cocoa Beach Cswy, Cocoa Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447994876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 657432 (Florida) | Primary |
Entity Name | Medfast Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
Entity Name | All Family Walk-in Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558948455 PECOS PAC ID: 0345640249 Enrollment ID: O20210615001397 |
Mailing Address | Practice Location Address |
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Kaleb Sistrunk, ARNP-BC 9011 Lithia Pinecrest Rd, Lithia, FL 33547-2815 Ph: (813) 730-3874 | Kaleb Sistrunk, ARNP-BC 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 Ph: (321) 799-7777 |
Ms. Brittany Lauren Peeler, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy Unit 202, Cocoa Beach, FL 32931 Phone: 321-549-0815 Fax: 321-768-0039 | |
Laura Ann Dijerome, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Woodland Ave, Cocoa Beach, FL 32931 Phone: 321-799-2840 | |
Ashley Briscoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-434-6650 Fax: 321-434-5864 | |
Mrs. Elizabeth Paige Shinn, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Samar Rd, Cocoa Beach, FL 32931 Phone: 321-888-2002 Fax: 321-306-2876 | |
Karen Ohern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-784-5437 Fax: 321-799-1231 | |
Sandra M Jennings Ingle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931 Phone: 321-868-5833 Fax: 321-868-5854 | |
Mrs. Andrea L Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy, Suite 404, Cocoa Beach, FL 32931 Phone: 321-868-2778 Fax: 321-868-2748 |