Mrs Alexzandria Dwan Marotta, ARNP | |
1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159-8987 | |
(352) 753-9777 | |
(352) 753-9781 |
Full Name | Mrs Alexzandria Dwan Marotta |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1400 N Us Highway 441 Ste 540, Lady Lake, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073895439 | NPI | - | NPPES |
008358400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9356337 (Florida) | Secondary |
363L00000X | Nurse Practitioner | ARNP9356337 (Florida) | Primary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
---|---|
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 |
---|---|
Mrs Alexzandria Dwan Marotta, ARNP Po Box 102222, Attn: Credentialing Dept., Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Mrs Alexzandria Dwan Marotta, ARNP 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159-8987 Ph: (352) 753-9777 |
Ms. Donna Elaine Walker, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13940 N Us Highway 441, Bldg 100 Ste 102, Lady Lake, FL 32159 Phone: 352-751-9900 Fax: 352-753-9438 | |
Melissa Buchkovich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 929 N Us Highway 441 Ste 503, Lady Lake, FL 32159 Phone: 352-245-6922 Fax: 352-245-6988 | |
Maria Pilar Czupryn, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159 Phone: 352-753-9777 Fax: 352-753-9781 | |
Patricia Ann Barranca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13940 N Us Highway 441, Suite 200, Lady Lake, FL 32159 Phone: 352-877-3111 | |
Kelly M Tripp, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159 Phone: 352-561-3290 | |
Megan Ashleen Benoit, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13696 N Us Highway 441, Lady Lake, FL 32159 Phone: 352-775-1221 Fax: 352-915-9028 |