Poliana Desarden, | |
1703 Thonotosassa Rd, Plant City, FL 33563-4202 | |
(813) 567-5679 | |
Not Available |
Full Name | Poliana Desarden |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1703 Thonotosassa Rd, Plant City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114695418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11014816 (Florida) | Primary |
Entity Name | Family Medical Specialists Of Florida Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427228998 PECOS PAC ID: 5092888503 Enrollment ID: O20080716000679 |
Mailing Address | Practice Location Address |
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Poliana Desarden, 1703 Thonotosassa Rd, Plant City, FL 33563-4202 Ph: (813) 567-5679 | Poliana Desarden, 1703 Thonotosassa Rd, Plant City, FL 33563-4202 Ph: (813) 567-5679 |
Donna Disanti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 508 N Alexander St, Suite 1, Plant City, FL 33563 Phone: 813-759-6607 Fax: 813-759-8997 | |
Johanna Pedraza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 N Alexander St Ste B, Plant City, FL 33563 Phone: 813-719-3525 Fax: 813-719-3175 | |
Muneshwar Derek Tooriram, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 813-757-1290 | |
Mrs. Michelle Helene Cormier-boeckle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 813-757-8343 | |
Jennifer Richie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 W Dr Martin Luther King Jr Blvd Ste D, Plant City, FL 33563 Phone: 813-754-1496 | |
Emma Bernice Ohaegbulam, CNM ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 508 N Maryland Ave, Plant City Family Care, Plant City, FL 33563 Phone: 813-349-7600 Fax: 813-349-7561 | |
Glenn David Turner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3302 W Baker St, Plant City, FL 33563 Phone: 813-752-1336 Fax: 813-754-6914 |