Kia R Blackman, | |
8320 W Sunrise Blvd Ste 208, Plantation, FL 33322-5432 | |
(800) 640-3451 | |
Not Available |
Full Name | Kia R Blackman |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 8320 W Sunrise Blvd Ste 208, Plantation, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386323160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 11025598 (Florida) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 11025598 (Florida) | Primary |
Entity Name | Mobile Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003002759 PECOS PAC ID: 4688685654 Enrollment ID: O20060505000660 |
Mailing Address | Practice Location Address |
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Kia R Blackman, Po Box 1200, Pleasant Grove, UT 84062-1200 Ph: (800) 640-3451 | Kia R Blackman, 8320 W Sunrise Blvd Ste 208, Plantation, FL 33322-5432 Ph: (800) 640-3451 |
Mrs. Carmelle Alexis Casimir, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 N Pine Island Rd Ste 106, Plantation, FL 33322 Phone: 954-376-3739 Fax: 855-618-6655 | |
Ralitza Georgieva, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7420 Nw 5th St, Suite 103, Plantation, FL 33317 Phone: 954-474-4704 Fax: 954-587-8686 | |
Latoya K Elmes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1776 N Pine Island Rd Ste 308, Plantation, FL 33322 Phone: 954-376-3739 Fax: 844-407-9213 | |
Jonelle A Mattis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Peters Rd Ste 1000, Plantation, FL 33324 Phone: 877-964-9378 | |
Ms. Lenette Blanco, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8251 W Broward Blvd Ste 103, Plantation, FL 33324 Phone: 954-255-7310 Fax: 954-255-1530 | |
Angelica Berrio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10241 W Broward Blvd, Plantation, FL 33324 Phone: 786-985-8901 | |
Dr. Juliette Drexler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Sw 78th Ave Apt 416, Plantation, FL 33324 Phone: 954-401-2852 |