Luceydis Pernut, | |
3176 S University Dr, Miramar, FL 33025-3002 | |
(954) 544-2617 | |
Not Available |
Full Name | Luceydis Pernut |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3176 S University Dr, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134766223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11004888 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11004888 (Florida) | Primary |
Entity Name | A & A Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871129395 PECOS PAC ID: 5294134060 Enrollment ID: O20210527000664 |
Mailing Address | Practice Location Address |
---|---|
Luceydis Pernut, 948 Raven Ave, Miami Springs, FL 33166-3835 Ph: (786) 333-4096 | Luceydis Pernut, 3176 S University Dr, Miramar, FL 33025-3002 Ph: (954) 544-2617 |
Jennifer Richards, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3720 Executive Way Ste 106, Miramar, FL 33025 Phone: 877-868-4827 | |
Yarixel Gache Ortiz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12204 Miramar Pkwy Ste 13, Miramar, FL 33025 Phone: 786-372-3654 | |
Claudline Pierre Louis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Sw 35th Ct, Miramar, FL 33023 Phone: 786-200-0227 | |
Marie S Laguerre, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13793 Sw 26th St, Miramar, FL 33027 Phone: 305-987-4198 Fax: 954-433-4622 | |
Mrs. Marie Monique Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Knolls Rd, Miramar, FL 33025 Phone: 305-491-3396 | |
Ashley E Huergo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14601 Sw 37th St, Miramar, FL 33027 Phone: 786-942-8781 | |
Katiana Legagneur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2341 Pine Tree Dr, Miramar, FL 33023 Phone: 239-324-6854 |