Nicholas Fatolitis, APRN | |
14000 Fivay Rd, Hudson, FL 34667-7103 | |
(727) 819-2929 | |
Not Available |
Full Name | Nicholas Fatolitis |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 14000 Fivay Rd, Hudson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659055309 | NPI | - | NPPES |
119184800 | Medicaid | FL | |
VWY53 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APRN11026912 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Entity Name | Florida Trauma Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578 |
Mailing Address | Practice Location Address |
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Nicholas Fatolitis, APRN Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Nicholas Fatolitis, APRN 14000 Fivay Rd, Hudson, FL 34667-7103 Ph: (727) 819-2929 |
Amanda Nicole Durrett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14153 Yosemite Dr Ste 104, Hudson, FL 34667 Phone: 727-605-3000 Fax: 727-378-4809 | |
Mrs. Courtney Bryan, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13626 Newport Shores Dr, Hudson, FL 34669 Phone: 727-992-0928 | |
Jasmin Lipat Sullivan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8405 Reynolds Dr, Hudson, FL 34667 Phone: 727-313-7296 | |
Geraldine Bailey, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13235 State Road 52 Ste 102, Hudson, FL 34669 Phone: 727-378-8503 Fax: 727-857-7807 | |
Nicole Lourine Baldwin, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Inna Kulyna, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14100 Fivay Rd Ste 130, Hudson, FL 34667 Phone: 727-857-4871 Fax: 727-857-4894 | |
Mark Felix Roldan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 Phone: 727-605-0252 Fax: 727-605-0254 |