Paula B Fuller, CRNA | |
611 Zeagler Dr, Palatka, FL 32177-3810 | |
(386) 326-8080 | |
Not Available |
Full Name | Paula B Fuller |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 611 Zeagler Dr, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679548796 | NPI | - | NPPES |
302530600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN588412 (Florida) | Primary |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Entity Name | Fleming Island Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Mailing Address | Practice Location Address |
---|---|
Paula B Fuller, CRNA 619 20th St, St Augustine, FL 32084-1703 Ph: () - | Paula B Fuller, CRNA 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 326-8080 |
Katherine Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Marty Mccullough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-7865 | |
John T Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Highway 16, Palatka, FL 32178 Phone: 386-326-7850 | |
Mr. Vincent Demond Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 904-382-8247 | |
Mr. Jeffrey Edward Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Rosalie J. Milano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 |