Mrs Amanda Williams Sellers, ARNP | |
1858 Mayo Dr, Tavares, FL 32778 | |
(352) 383-5200 | |
(352) 383-3534 |
Full Name | Mrs Amanda Williams Sellers |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1858 Mayo Dr, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831633692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9310532 (Florida) | Primary |
Entity Name | Lake Gastroenterology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972801827 PECOS PAC ID: 3173708484 Enrollment ID: O20110502000725 |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20191008003842 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Williams Sellers, ARNP 1858 Mayo Dr, Tavares, FL 32778-4320 Ph: (352) 383-5200 | Mrs Amanda Williams Sellers, ARNP 1858 Mayo Dr, Tavares, FL 32778 Ph: (352) 383-5200 |
Ms. Christine Desantis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1879 Nightingale Lane, Suite C-1, Tavares, FL 32778 Phone: 352-742-1171 Fax: 352-742-7241 | |
Smitha Antony Panjikaran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Advent Health Hospital, 1000 Waterman Way, Tavares, FL 32778 Phone: 353-253-3333 | |
Debra Babcock, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
Mrs. Aji Valayil Achuthan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 | |
Ashley Megan Concepcion, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1290 Waterman Way Ste 1290, Tavares, FL 32778 Phone: 352-742-0054 | |
Genesis Edlin Guerrero, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1858 Mayo Dr, Tavares, FL 32778 Phone: 352-383-5200 | |
Teri Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3985 Hillingdon Rd, Tavares, FL 32778 Phone: 352-250-0586 |