Krystal Gordon, ARNP | |
260 Beth Stacey Blvd # C, Lehigh Acres, FL 33936-6074 | |
(239) 343-9888 | |
(239) 303-0714 |
Full Name | Krystal Gordon |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics, Critical Care |
Location | 260 Beth Stacey Blvd # C, Lehigh Acres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568022523 | NPI | - | NPPES |
103687500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | APRN11002846 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | Family Health Centers Of Southwest Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326090390 PECOS PAC ID: 3173432085 Enrollment ID: O20040106000084 |
Mailing Address | Practice Location Address |
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Krystal Gordon, ARNP Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-1500 | Krystal Gordon, ARNP 260 Beth Stacey Blvd # C, Lehigh Acres, FL 33936-6074 Ph: (239) 343-9888 |
Lazara Garcia Cabezas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Joel Blvd, Lehigh Acres, FL 33936 Phone: 239-491-9929 | |
Yanelys Lay, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1518 Pine Ave, Lehigh Acres, FL 33972 Phone: 786-779-4653 | |
Ann Marie Bustamante, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Lee Blvd, Lehigh Acres, FL 33936 Phone: 866-389-2727 | |
Vicente Perez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1220 Amherst St E, Lehigh Acres, FL 33974 Phone: 305-926-1495 | |
Sairis Ramirez, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 228 Plaza Dr Ste D, Lehigh Acres, FL 33936 Phone: 396-906-9062 | |
Teresa Urra Cobas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1303 Homestead Rd N Ste 102, Lehigh Acres, FL 33936 Phone: 239-303-2700 Fax: 239-303-2756 | |
Danielle Lashawn Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Lee Blvd, Lehigh Acres, FL 33936 Phone: 239-596-4577 |