Mary Lou S Smith, NP | |
1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | |
(321) 312-4580 | |
(321) 914-4053 |
Full Name | Mary Lou S Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1840 Eldron Blvd Se Ste 1, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467413237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | ARNP9431231 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | ARNP9431231 (Florida) | Primary |
Entity Name | Restore Health Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609240779 PECOS PAC ID: 4688972896 Enrollment ID: O20160420002026 |
Mailing Address | Practice Location Address |
---|---|
Mary Lou S Smith, NP 108 Yacht Haven Dr, Cocoa Beach, FL 32931-2627 Ph: (636) 346-5002 | Mary Lou S Smith, NP 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (321) 312-4580 |
Sandra L Armstrong, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-312-3462 Fax: 321-409-6812 | |
Ms. Beverley W. Spalding, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 Daton Rd Sw, Palm Bay, FL 32908 Phone: 321-723-4820 | |
Dr. Melissa Ann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 490 Centre Lake Dr Ne Ste 200b, Palm Bay, FL 32907 Phone: 530-788-6901 Fax: 321-394-9425 | |
Mrs. Pierrela Mikael Longchamp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 811 Dateland Rd Se, Palm Bay, FL 32909 Phone: 754-244-3241 | |
Keri Beth Gagnon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Malabar Rd Se Ste 2, Palm Bay, FL 32907 Phone: 321-802-6590 | |
Milena Tellechea Casanueva, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 Phone: 305-878-3037 | |
Mrs. Sydney Nicole Elalfi, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1860 Hallendale Ave Sw, Palm Bay, FL 32908 Phone: 321-506-9335 |