Lara Lee Devero-williams, APRN | |
2200 Osprey Blvd, Bartow, FL 33830-3308 | |
(863) 528-0931 | |
Not Available |
Full Name | Lara Lee Devero-williams |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2200 Osprey Blvd, Bartow, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376012385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F11180234 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Gessler Clinic Professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154399533 PECOS PAC ID: 3476545484 Enrollment ID: O20040331000760 |
Mailing Address | Practice Location Address |
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Lara Lee Devero-williams, APRN 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Lara Lee Devero-williams, APRN 2200 Osprey Blvd, Bartow, FL 33830-3308 Ph: (863) 528-0931 |
Jeena Mathew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Nevermore Cir, Bartow, FL 33830 Phone: 863-512-1055 | |
Sarah Anne Crowley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
Ms. Patricia Clark, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3750 Fax: 863-519-3753 | |
Yesenia Maria Martin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-500-3776 | |
Sandra Kay Heisler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
Ms. Suellen Cirelli, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1064 N. Broadway Ave, Bartow, FL 33830 Phone: 863-519-9797 Fax: 863-533-8723 | |
Lois Hall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Brice Blvd, Bartow, FL 33830 Phone: 863-519-7900 |