Tammy Jo Leggett, | |
826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 | |
(828) 292-4987 | |
Not Available |
Full Name | Tammy Jo Leggett |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 826 N Wild Olive Ave, Daytona 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 |
---|---|---|---|
1871066373 | NPI | - | NPPES |
2018087129 | Other | ANCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 000000000 (Florida) | Primary |
Entity Name | Primecare At Twin Lakes Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
Entity Name | Primecare Acquisition Family Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003452681 PECOS PAC ID: 5799116315 Enrollment ID: O20200515000882 |
Mailing Address | Practice Location Address |
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Tammy Jo Leggett, 826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 Ph: (828) 292-4987 | Tammy Jo Leggett, 826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 Ph: (828) 292-4987 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |