| Deno Services Inc | |
|
200 Se Hospital Ave Stuart FL 34994-2346 | |
| (772) 287-5200 | |
| Not Available |
| Full Name | Deno Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Se Hospital Ave, Stuart, Florida |
| Authorized Official Name and Position | Yohanna Deno (OWNER) |
| Authorized Official Contact | 6467026857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deno Services Inc 11209 Sw Stockton Pl Port St Lucie FL 34987-2768 Ph: () - | Deno Services Inc 200 Se Hospital Ave Stuart FL 34994-2346 Ph: (772) 287-5200 |
| NPI Number | 1447764840 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Medicare PECOS PAC ID | 7618238726 |
|---|---|
| Medicare Enrollment ID | O20180307000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447764840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolyn A Rawdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487893343 PECOS PAC ID: 8022167659 Enrollment ID: I20090601000236 |
| Provider Name | Yohanna Deno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700050275 PECOS PAC ID: 4284805805 Enrollment ID: I20131009000276 |
| Provider Name | Janice P Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033599170 PECOS PAC ID: 3577873355 Enrollment ID: I20151106000794 |
| Provider Name | Dominique S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845069 PECOS PAC ID: 6507149994 Enrollment ID: I20170209000379 |
| Provider Name | Anthony Tomasello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906552 PECOS PAC ID: 9133490972 Enrollment ID: I20170811002870 |
| Provider Name | Tammy Grisham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489473 PECOS PAC ID: 1951661586 Enrollment ID: I20180130002849 |
| Provider Name | Jeffrey Lynn Zellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374992 PECOS PAC ID: 1456612795 Enrollment ID: I20180228002245 |
| Provider Name | Jennifer Lynn Seegott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124677331 PECOS PAC ID: 5698006484 Enrollment ID: I20191009000759 |
| Provider Name | Portia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295344604 PECOS PAC ID: 6608289053 Enrollment ID: I20210104002291 |
| Provider Name | Massiel Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942823067 PECOS PAC ID: 9234545666 Enrollment ID: I20210310001474 |
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