Luis Marrero, | |
2217 North Blvd W, Davenport, FL 33837-8990 | |
(863) 421-3456 | |
Not Available |
Full Name | Luis Marrero |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 2217 North Blvd W, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669157442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 11026280 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | APRN11026280 (Florida) | Primary |
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
---|---|
Luis Marrero, 2217 North Blvd W, Davenport, FL 33837-8990 Ph: (863) 421-3456 | Luis Marrero, 2217 North Blvd W, Davenport, FL 33837-8990 Ph: (863) 421-3456 |
Briana Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Karen R Elias Valladares, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Heather Lynn Dr, Davenport, FL 33897 Phone: 703-626-7788 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Catherine Reynolds, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 |