Yarelis Gonzalez Pantoja, APRN | |
16706 Carlton Pond St, Wimauma, FL 33598-2436 | |
(832) 276-3119 | |
Not Available |
Full Name | Yarelis Gonzalez Pantoja |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 16706 Carlton Pond St, Wimauma, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841838711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 980394 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11031670 (Florida) | Primary |
Entity Name | Physicians Specialties Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285239269 PECOS PAC ID: 1759748981 Enrollment ID: O20230604000005 |
Mailing Address | Practice Location Address |
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Yarelis Gonzalez Pantoja, APRN 16706 Carlton Pond St, Wimauma, FL 33598-2436 Ph: (832) 276-3119 | Yarelis Gonzalez Pantoja, APRN 16706 Carlton Pond St, Wimauma, FL 33598-2436 Ph: (832) 276-3119 |
Elizabeth L Roszel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 State Road 674, Wimauma, FL 33598 Phone: 813-633-8555 Fax: 813-349-7861 | |
Rose Lasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 Hwy 674, Wimauma, FL 33598 Phone: 813-653-6100 | |
Luis Antonio Garcia Alvarado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10838 Standing Stone Dr, Wimauma, FL 33598 Phone: 813-802-5932 | |
Maureen Diane Amilca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10623 Massimo Dr, Wimauma, FL 33598 Phone: 321-693-3395 | |
Ruby Arroyo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2505 Nettlow Ln, Wimauma, FL 33598 Phone: 813-424-6109 | |
Ronsae Mallard, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10803 Carloway Hills Dr, Wimauma, FL 33598 Phone: 386-288-5697 | |
Ingrid Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14615 Crescent Rock Dr, Wimauma, FL 33598 Phone: 813-898-3536 |