Yesenia Mary Malave Vazquez, | |
2241 Brian Ave, South Daytona, FL 32119-2721 | |
(386) 547-0554 | |
Not Available |
Full Name | Yesenia Mary Malave Vazquez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 2241 Brian Ave, South Daytona, 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 |
---|---|---|---|
1487399366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11019521 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
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Yesenia Mary Malave Vazquez, 2241 Brian Ave, South Daytona, FL 32119-2721 Ph: () - | Yesenia Mary Malave Vazquez, 2241 Brian Ave, South Daytona, FL 32119-2721 Ph: (386) 547-0554 |
Wendy Carol Boone, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Katherine St, South Daytona, FL 32119 Phone: 321-749-4524 | |
Matthew Hal Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2435 Kenilworth Ave, South Daytona, FL 32119 Phone: 386-334-0061 | |
Cassandra Jane (robertson) Mccathran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Beville Rd, South Daytona, FL 32119 Phone: 386-304-3444 Fax: 386-304-3403 | |
Lindsey K Busch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 888-486-1253 | |
Myrna Del Carmen Colom, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 322 Big Tree Rd, South Daytona, FL 32119 Phone: 386-310-8745 | |
James Kulis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000 |