Lee Adam Massie, ACACNP-BC | |
4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 | |
(866) 974-2673 | |
(904) 634-0203 |
Full Name | Lee Adam Massie |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 4565 Us Highway 17 Ste 200, Fleming Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477320059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 11030005 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | APRN11030005 (Florida) | Primary |
Entity Name | Southeast Orthopedic Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
Mailing Address | Practice Location Address |
---|---|
Lee Adam Massie, ACACNP-BC 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673 | Lee Adam Massie, ACACNP-BC 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 Ph: (866) 974-2673 |
Mr. Jeffrey Ludan Vongjesda, MS, ARNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227 | |
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Vanessa Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315 | |
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972 | |
Saphina Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527 | |
Mr. Scott Alan Shirley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003 Phone: 904-886-9686 Fax: 904-253-6964 |