Maureen Diane Amilca, | |
10623 Massimo Dr, Wimauma, FL 33598-2010 | |
(321) 693-3395 | |
Not Available |
Full Name | Maureen Diane Amilca |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 10623 Massimo Dr, Wimauma, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235833252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11025382 (Florida) | Primary |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Aldor-pulmonary, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417311747 PECOS PAC ID: 9335431816 Enrollment ID: O20160630002076 |
Mailing Address | Practice Location Address |
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Maureen Diane Amilca, 602 S Audubon Ave, Tampa, FL 33609-4217 Ph: (321) 693-3395 | Maureen Diane Amilca, 10623 Massimo Dr, Wimauma, FL 33598-2010 Ph: (321) 693-3395 |
Elizabeth L Roszel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 State Road 674, Wimauma, FL 33598 Phone: 813-633-8555 Fax: 813-349-7861 | |
Rose Lasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 Hwy 674, Wimauma, FL 33598 Phone: 813-653-6100 | |
Luis Antonio Garcia Alvarado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10838 Standing Stone Dr, Wimauma, FL 33598 Phone: 813-802-5932 | |
Ronsae Mallard, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10803 Carloway Hills Dr, Wimauma, FL 33598 Phone: 386-288-5697 | |
Ingrid Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14615 Crescent Rock Dr, Wimauma, FL 33598 Phone: 813-898-3536 | |
Jacqueline Maldonado, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14427 Barley Field Dr, Wimauma, FL 33598 Phone: 813-784-9640 |