Theresa Trick, | |
103 Solana Rd, Ponte Vedra Beach, FL 32082-2231 | |
(904) 273-2717 | |
Not Available |
Full Name | Theresa Trick |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 103 Solana Rd, Ponte Vedra 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 |
---|---|---|---|
1902544380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11019850 (Florida) | Primary |
Entity Name | Beaches Dermatology, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780627521 PECOS PAC ID: 9133190549 Enrollment ID: O20040802000141 |
Mailing Address | Practice Location Address |
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Theresa Trick, 103 Solana Rd, Ponte Vedra Beach, FL 32082-2231 Ph: (904) 273-2717 | Theresa Trick, 103 Solana Rd, Ponte Vedra Beach, FL 32082-2231 Ph: (904) 273-2717 |
Dr. Hillary Marie Luke-tindley, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10870 Us One N Unit 104, Ponte Vedra Beach, FL 32081 Phone: 904-438-2720 | |
Mrs. Gabriela Elena Fratila, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Ponte Vedra Park Dr Ste 500, Ponte Vedra Beach, FL 32082 Phone: 904-273-1180 Fax: 904-273-6116 | |
Katrina Torres, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 Davin Ct, Ponte Vedra Beach, FL 32082 Phone: 904-490-0264 | |
Desirae Lemmon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082 Phone: 904-273-6533 Fax: 904-273-6532 | |
Mrs. Claudette Narcisa Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082 Phone: 904-273-6200 Fax: 904-273-6100 | |
Laura Lui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 Front St, Ponte Vedra Beach, FL 32082 Phone: 904-285-3634 | |
Tracie Nusca Parrish, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Front St, Ponte Vedra Beach, FL 32082 Phone: 904-285-3634 |