Tobias Fredeking, | |
2009 Pine Island Cir, Miramar Beach, FL 32550-7880 | |
(209) 605-6356 | |
Not Available |
Full Name | Tobias Fredeking |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2009 Pine Island Cir, Miramar 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 |
---|---|---|---|
1497877344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11003659 (Florida) | Primary |
Entity Name | Pancare Of Florida, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366456287 PECOS PAC ID: 3476574229 Enrollment ID: O20150116000294 |
Mailing Address | Practice Location Address |
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Tobias Fredeking, 2009 Pine Island Cir, Miramar Beach, FL 32550-7880 Ph: (209) 605-6356 | Tobias Fredeking, 2009 Pine Island Cir, Miramar Beach, FL 32550-7880 Ph: (209) 605-6356 |
Presley Noelle Pulse, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12889 Hwy 98, Suite 107b, Miramar Beach, FL 32459 Phone: 850-837-1271 | |
Regen Miller, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Secret Harbor Dr, Miramar Beach, FL 32550 Phone: 850-654-8814 | |
Hannah Rose Duplantis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 Phone: 850-267-1603 Fax: 850-622-3342 | |
Lynde Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7720 Hwy 98 W Ste 350, Miramar Beach, FL 32550 Phone: 850-622-3393 Fax: 850-622-3371 | |
Karen Madrid, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7720 Hwy 98 W Ste 110, Miramar Beach, FL 32550 Phone: 850-267-1603 Fax: 850-622-3342 | |
Kristin Moffeit, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7720 Us Highway 98 W Ste 310, Miramar Beach, FL 32550 Phone: 850-267-2961 Fax: 850-278-3780 | |
Margaret Helen Turk Russell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7720 Us Highway 98 W, Ste 110, Miramar Beach, FL 32550 Phone: 850-267-1603 Fax: 850-622-3342 |