Sheena Clark, | |
2001 N Flagler Dr, West Palm Beach, FL 33407-6109 | |
(561) 659-6543 | |
(561) 659-3533 |
Full Name | Sheena Clark |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2001 N Flagler Dr, West Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407368137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP135449 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 53040 (New Mexico) | Secondary |
363L00000X | Nurse Practitioner | 11020226 (Florida) | Primary |
Entity Name | Tampa General Provider Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538742317 PECOS PAC ID: 6002217346 Enrollment ID: O20210624001725 |
Mailing Address | Practice Location Address |
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Sheena Clark, 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 Ph: (561) 659-6543 | Sheena Clark, 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 Ph: (561) 659-6543 |
Ms. Jounette Noel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Clematis St, West Palm Beach, FL 33401 Phone: 561-891-1379 | |
Lazaro Antonio Machado Sanchez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 Hill Dr Apt D, West Palm Beach, FL 33415 Phone: 786-399-9230 | |
Dr. Teresa A Kowalczyk-vitous, DNP.ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10155 Okeechobee Blvd, West Palm Beach, FL 33411 Phone: 561-204-2349 | |
Mr. George Nicholson Copeland, ARNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Arlington Rd, West Palm Beach, FL 33405 Phone: 561-582-9683 | |
Carla Fazio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Flagler Dr, West Palm Beach, FL 33401 Phone: 561-366-4100 Fax: 561-366-4189 | |
Ms. Jaime Bianca James, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 45th St, West Palm Beach, FL 33407 Phone: 561-514-5300 Fax: 561-514-5538 | |
Mrs. Leticia Puentes Carrera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1621 Woods Bend Rd, West Palm Beach, FL 33406 Phone: 561-598-3452 |