Mrs Lisa Reshae Henderson, | |
814 N John Young Pkwy, Kissimmee, FL 34741-4912 | |
(407) 816-0189 | |
(407) 870-1579 |
Full Name | Mrs Lisa Reshae Henderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 814 N John Young Pkwy, Kissimmee, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497999643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2962412 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carespot Of Orlando Hsi Urgent Care Llc | 8921372558 | 58 |
Entity Name | Solantic/south Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Entity Name | Hma-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
Entity Name | Shands-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Reshae Henderson, 814 N John Young Pkwy, Kissimmee, FL 34741-4912 Ph: (407) 816-0189 | Mrs Lisa Reshae Henderson, 814 N John Young Pkwy, Kissimmee, FL 34741-4912 Ph: (407) 816-0189 |
Mrs. Melinda Christine Vazquez, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 321-746-6132 | |
Angelisse Marie Martinez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3230 Hillsdale Ln, Kissimmee, FL 34741 Phone: 407-785-1967 | |
Mr. Gabriel Josue Sustache Mercado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Pleasant Hill Rd, Kissimmee, FL 34746 Phone: 866-389-2727 | |
Colleen R Roblin, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-518-3626 Fax: 407-518-3164 | |
Marie De Jesus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5308 W Irlo Bronson Hwy, Kissimmee, FL 34746 Phone: 407-733-2635 | |
Deanna Marie Salguero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Robert Anthony Otero, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3098 Eagle Crossing Dr, Kissimmee, FL 34746 Phone: 407-201-2680 Fax: 407-201-2680 |