Mr Samuel Branden Lee, APRN PMHNP-BC | |
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
(863) 494-1242 | |
(863) 491-0466 |
Full Name | Mr Samuel Branden Lee |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 725 N 12th Ave Bldg B, Arcadia, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811674757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11027111 (Florida) | Primary |
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Balanced Wellbeing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
Mailing Address | Practice Location Address |
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Mr Samuel Branden Lee, APRN PMHNP-BC 89 Queensland Cir, Ponte Vedra, FL 32081-6061 Ph: (904) 563-5300 | Mr Samuel Branden Lee, APRN PMHNP-BC 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Angela Johnson Register, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Terence Ryan Vereen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Kaydean J Vickers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Dr. Chandra R Parsley, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1031 E Oak St, Arcadia, FL 34266 Phone: 863-491-7580 Fax: 863-491-7584 | |
Mr. Douglas Scott Quirk, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Ms. Cynthia Ann Schackman, ARNP OR PFMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Mr. King David Mungin Sr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |