Mikel James Mineo, APRN | |
9320 State Road 54, Trinity, FL 34655-1808 | |
(727) 842-8411 | |
(877) 917-2336 |
Full Name | Mikel James Mineo |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 9320 State Road 54, Trinity, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235838012 | NPI | - | NPPES |
117575000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APRN11024985 (Florida) | Primary |
363L00000X | Nurse Practitioner | APRN11024985 (Florida) | Secondary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
---|---|
Mikel James Mineo, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Mikel James Mineo, APRN 9320 State Road 54, Trinity, FL 34655-1808 Ph: (727) 842-8411 |
Jerrica Sawyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3539 Little Rd, Trinity, FL 34655 Phone: 727-846-9419 Fax: 727-816-8707 | |
Rachel Kristen Morin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 | |
Phuong Quyen Thi Dinh-bailey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 Short Branch Dr Ste 102, Trinity, FL 34655 Phone: 727-332-0028 | |
Kimberley Kay Drury, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 | |
Corie L Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1815 Health Care Dr Ste B, Trinity, FL 34655 Phone: 727-312-4445 Fax: 727-312-4643 | |
Ebony Patrice Austin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 | |
Mrs. Tori Barrilleaux, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 727-834-4000 |