| Leah Angela Phillips Ortenzo, | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (850) 863-7607 | |
| Not Available |
| Full Name | Leah Angela Phillips Ortenzo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1000 Mar Walt Dr, Fort Walton 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 |
|---|---|---|---|
| 1225760259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11020504 (Florida) | Primary |
| Entity Name | Fl-i Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Angela Phillips Ortenzo, 37 Solar St, Mary Esther, FL 32569-1535 Ph: (770) 584-2161 | Leah Angela Phillips Ortenzo, 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607 |
Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497 | |
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594 | |
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104 | |
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439 | |
Emily Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385 | |
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249 | |
Anne Marie Crow, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547 Phone: 850-243-0118 Fax: 850-243-0594 |