Marieta Georgieva Fryer, APRN | |
1839 Central Ave, St. Petersburg, FL 33713-8900 | |
(727) 322-1054 | |
(727) 821-7213 |
Full Name | Marieta Georgieva Fryer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1839 Central Ave, St. Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235849258 | NPI | - | NPPES |
116575200 | Medicaid | FL | |
4LW3U | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | APRN11006540 (Florida) | Primary |
Entity Name | Professional Healthcare Of Pinellas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881647253 PECOS PAC ID: 1658274675 Enrollment ID: O20040128000732 |
Mailing Address | Practice Location Address |
---|---|
Marieta Georgieva Fryer, APRN 1839 Central Ave, St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 | Marieta Georgieva Fryer, APRN 1839 Central Ave, St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 |
Kelsey Langford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8950 Dr M.l.k. Jr St N, Unit 102, St. Petersburg, FL 33702 Phone: 727-498-8898 | |
Mrs. Gail Lynn Davenport, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6017th St S, St. Petersburg, FL 33701 Phone: 727-893-6234 Fax: 727-553-7798 | |
Elisa Rosario Icaza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 66th St. N., Suite 510, St. Petersburg, FL 33710 Phone: 727-384-2479 Fax: 727-384-3573 | |
Ashley Gortemoller Briggs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 8th Street South, Suite A, St. Petersburg, FL 33701 Phone: 727-329-8830 Fax: 727-329-8840 | |
Mrs. Susan Aileen Lewis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, St. Petersburg, FL 33708 Phone: 727-398-6661 | |
Ethan Paul Reid, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave., St. Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213 |