Amanda Jon Mcnally Yatabe, ARNP | |
5151 Adanson St Ste 108, Orlando, FL 32804-1317 | |
(407) 875-3700 | |
(407) 822-5024 |
Full Name | Amanda Jon Mcnally Yatabe |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 5151 Adanson St Ste 108, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316537756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APRN11011170 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 11011170 (Florida) | Primary |
Entity Name | Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
Entity Name | Aspire Health Partners, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953 |
Entity Name | Compassionate Care Hospice Of Lake And Sumter Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770129504 PECOS PAC ID: 1759503410 Enrollment ID: O20200302001000 |
Entity Name | Compassionate Care Hospice Of Miami Dade And The Florida Keys, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982242459 PECOS PAC ID: 0143452466 Enrollment ID: O20200514000918 |
Entity Name | Amedisys Hospice, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174200620 PECOS PAC ID: 4183606304 Enrollment ID: O20231010000755 |
Mailing Address | Practice Location Address |
---|---|
Amanda Jon Mcnally Yatabe, ARNP 400 E Sheridan Rd, Melbourne, FL 32901-3184 Ph: (321) 722-5200 | Amanda Jon Mcnally Yatabe, ARNP 5151 Adanson St Ste 108, Orlando, FL 32804-1317 Ph: (407) 875-3700 |