Vivian M Theriault, APRN | |
720 Oak Commons Blvd, Kissimmee, FL 34741 | |
(407) 933-2522 | |
(407) 932-0215 |
Full Name | Vivian M Theriault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 720 Oak Commons Blvd, Kissimmee, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740494962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP 3391622 (Florida) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | APRN3391622 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventhealth Primary Care Network Inc | 1557722410 | 338 |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | Adventhealth Primary Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
Mailing Address | Practice Location Address |
---|---|
Vivian M Theriault, APRN 720 Oak Commons Blvd, Kissimmee, FL 34741-4100 Ph: (407) 933-2522 | Vivian M Theriault, APRN 720 Oak Commons Blvd, Kissimmee, FL 34741 Ph: (407) 933-2522 |
Mrs. Melinda Christine Vazquez, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 321-746-6132 | |
Angelisse Marie Martinez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3230 Hillsdale Ln, Kissimmee, FL 34741 Phone: 407-785-1967 | |
Mr. Gabriel Josue Sustache Mercado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Pleasant Hill Rd, Kissimmee, FL 34746 Phone: 866-389-2727 | |
Colleen R Roblin, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-518-3626 Fax: 407-518-3164 | |
Marie De Jesus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5308 W Irlo Bronson Hwy, Kissimmee, FL 34746 Phone: 407-733-2635 | |
Deanna Marie Salguero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Robert Anthony Otero, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3098 Eagle Crossing Dr, Kissimmee, FL 34746 Phone: 407-201-2680 Fax: 407-201-2680 |