Mrs Sophia Fouche, | |
717 E Oak St, Kissimmee, FL 34744-4580 | |
(407) 846-0533 | |
(407) 518-1730 |
Full Name | Mrs Sophia Fouche |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 717 E Oak St, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144994682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11018712 (Florida) | Primary |
Entity Name | Mindful Behavioral Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477744548 PECOS PAC ID: 7810162740 Enrollment ID: O20111205000619 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sophia Fouche, 2250 Rambling Oaks Way, Kissimmee, FL 34746-2247 Ph: (321) 465-1415 | Mrs Sophia Fouche, 717 E Oak St, Kissimmee, FL 34744-4580 Ph: (407) 846-0533 |
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 |