| Novus Pain & Physical Medicine - Florida Llc | |
|
1507 S Tuttle Ave Sarasota FL 34239-2608 | |
| (301) 722-0484 | |
| (833) 903-0130 |
| Full Name | Novus Pain & Physical Medicine - Florida Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1507 S Tuttle Ave, Sarasota, Florida |
| Authorized Official Name and Position | Heather Robosson (PRACTICE MANAGER) |
| Authorized Official Contact | 2407273995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Pain & Physical Medicine - Florida Llc 157 Baltimore St Ste 100 Cumberland MD 21502-2472 Ph: (301) 722-0484 | Novus Pain & Physical Medicine - Florida Llc 1507 S Tuttle Ave Sarasota FL 34239-2608 Ph: (301) 722-0484 |
| NPI Number | 1518500263 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 5496198699 |
|---|---|
| Medicare Enrollment ID | O20240205002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518500263 | NPI | - | NPPES |
| Provider Name | Dorothy Dawn Ibasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356731715 PECOS PAC ID: 1456671569 Enrollment ID: I20150513000593 |
| Provider Name | Maura Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285992065 PECOS PAC ID: 6406165174 Enrollment ID: I20151020001111 |
| Provider Name | Mark Felix Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104308329 PECOS PAC ID: 1850639121 Enrollment ID: I20190212000831 |
| Provider Name | James F Leitera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386939452 PECOS PAC ID: 8729256466 Enrollment ID: I20190314000495 |
| Provider Name | Jessica Anne Butz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921114 PECOS PAC ID: 6709129109 Enrollment ID: I20190529001135 |
| Provider Name | James Duross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023578895 PECOS PAC ID: 6204179146 Enrollment ID: I20200330001967 |
| Provider Name | Michelle Maiolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871224550 PECOS PAC ID: 4385027192 Enrollment ID: I20220811001150 |
| Provider Name | Anabel Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717998 PECOS PAC ID: 0143604124 Enrollment ID: I20221122000645 |
| Provider Name | Uhuru Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578871869 PECOS PAC ID: 2961894423 Enrollment ID: I20230323002265 |
| Provider Name | Jennifer Nardella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235808361 PECOS PAC ID: 5890150767 Enrollment ID: I20230427002051 |
| Provider Name | Barbara Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184672586 PECOS PAC ID: 1355352782 Enrollment ID: I20230511000671 |
| Provider Name | Ysliani Roman Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699473397 PECOS PAC ID: 0648639450 Enrollment ID: I20230711001814 |
| Provider Name | Damean Freas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699837260 PECOS PAC ID: 5698855674 Enrollment ID: I20240204000039 |
| Provider Name | Allyson Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912639444 PECOS PAC ID: 9931584190 Enrollment ID: I20240730004738 |
| Provider Name | Yannick B Odiete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487008892 PECOS PAC ID: 9436509734 Enrollment ID: I20240816000624 |
| Provider Name | Bobbi-jo Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316447626 PECOS PAC ID: 8628323664 Enrollment ID: I20240904002312 |
| Provider Name | Cynthia A Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801131313 PECOS PAC ID: 8325287584 Enrollment ID: I20240910004908 |
| Provider Name | Gina Marie Ambrose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790044220 PECOS PAC ID: 2466696935 Enrollment ID: I20240912004279 |
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