Stephannie Marie Pittman, APRN, FNP-C | |
13801 Bruce B Downs Blvd Ste 401, Tampa, FL 33613-3997 | |
(139) 718-8118 | |
(813) 355-5902 |
Full Name | Stephannie Marie Pittman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 13801 Bruce B Downs Blvd Ste 401, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245842459 | NPI | - | NPPES |
115189800 | Medicaid | FL | |
0WRZ9 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11008409 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN11008409 (Florida) | Primary |
Entity Name | Florida Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
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 |
Mailing Address | Practice Location Address |
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Stephannie Marie Pittman, APRN, FNP-C Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Stephannie Marie Pittman, APRN, FNP-C 13801 Bruce B Downs Blvd Ste 401, Tampa, FL 33613-3997 Ph: (139) 718-8118 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 | |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 | |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 | |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 | |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401 | |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |