Mrs Mickelyn Graves Houghton, APRN-CNM | |
1129 N Missouri Ave, Lakeland, FL 33805-4411 | |
(866) 234-8534 | |
Not Available |
Full Name | Mrs Mickelyn Graves Houghton |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1129 N Missouri Ave, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356063911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | APRN11021795 (Florida) | Primary |
Entity Name | Central Florida Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
Mailing Address | Practice Location Address |
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Mrs Mickelyn Graves Houghton, APRN-CNM 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Mrs Mickelyn Graves Houghton, APRN-CNM 1129 N Missouri Ave, Lakeland, FL 33805-4411 Ph: (866) 234-8534 |
Carolyn M Reneau, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1729 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-940-2908 Fax: 863-940-4722 | |
Natalie Anne Wipert, APRN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 | |
Ms. Kimona Baker, ARNP;CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1729 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-940-2908 Fax: 813-938-6485 | |
Jill Allison Young, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1525 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-6860 Fax: 863-688-7959 | |
Tammy Hatcher, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1729 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-940-2908 Fax: 813-938-6425 | |
Glenda Gail Parton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 Fax: 863-837-4441 |