| Lisa Tracy Ann Bryan Ukawuilulu, APRN | |
|
405 N Clyde Morris Blvd, Daytona Beach, FL 32114-2730 | |
| (386) 506-8555 | |
| Not Available |
| Full Name | Lisa Tracy Ann Bryan Ukawuilulu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 405 N Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316416076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9282094 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Diseases Of Mid-florida, Pa | 9032123526 | 5 |
| Entity Name | Infectious Diseases Of Mid-florida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396837308 PECOS PAC ID: 9032123526 Enrollment ID: O20060206000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Tracy Ann Bryan Ukawuilulu, APRN 5418 Fan Palm Ct, Port Orange, FL 32128-7447 Ph: (386) 214-5004 | Lisa Tracy Ann Bryan Ukawuilulu, APRN 405 N Clyde Morris Blvd, Daytona Beach, FL 32114-2730 Ph: (386) 506-8555 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |