| Laura Graze Dnp Llc | |
|
600 Ne Bayberry Ln Jensen Beach FL 34957-6824 | |
| (772) 800-9796 | |
| Not Available |
| Full Name | Laura Graze Dnp Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Ne Bayberry Ln, Jensen Beach, Florida |
| Authorized Official Name and Position | Laura Graze (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 7728009796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Graze Dnp Llc 600 Ne Bayberry Ln Jensen Beach FL 34957-6824 Ph: (772) 800-9796 | Laura Graze Dnp Llc 600 Ne Bayberry Ln Jensen Beach FL 34957-6824 Ph: (772) 800-9796 |
| NPI Number | 1083203954 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 4587071345 |
|---|---|
| Medicare Enrollment ID | O20210324001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083203954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura G Graze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588087571 PECOS PAC ID: 9032495460 Enrollment ID: I20170419000321 |
| Provider Name | Ria Unzalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278044 PECOS PAC ID: 2860774833 Enrollment ID: I20180129001270 |
| Provider Name | Claudette Marie Johnston-creary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407395312 PECOS PAC ID: 7416203542 Enrollment ID: I20180703001960 |
| Provider Name | Jennifer Lynn Seegott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124677331 PECOS PAC ID: 5698006484 Enrollment ID: I20191009000759 |
| Provider Name | Robert Castro Natal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376244988 PECOS PAC ID: 7315302288 Enrollment ID: I20240518000019 |
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