| Jaclyn Burton Hart, ARNP | |
|
951 N Washington Ave, Titusville, FL 32796-2163 | |
| (321) 268-6111 | |
| Not Available |
| Full Name | Jaclyn Burton Hart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 951 N Washington Ave, Titusville, 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 |
|---|---|---|---|
| 1891217154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | ARPN9351152 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9351152 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Medical Center | Titusville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group, Florida Inc | 4082878509 | 20 |
| Entity Name | North Brevard Medical Support Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
| Entity Name | Gowani Medical Associates Mdpllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699843599 PECOS PAC ID: 1951335553 Enrollment ID: O20050922001083 |
| Entity Name | Apogee Medical Group, Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386916104 PECOS PAC ID: 4082878509 Enrollment ID: O20120614000042 |
| Entity Name | Inpatient Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679817134 PECOS PAC ID: 0345493623 Enrollment ID: O20130117000370 |
| Entity Name | Florida Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952848913 PECOS PAC ID: 1456638956 Enrollment ID: O20170511000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Burton Hart, ARNP 11701 Peach Grove Ln, Orlando, FL 32821-7918 Ph: () - | Jaclyn Burton Hart, ARNP 951 N Washington Ave, Titusville, FL 32796-2163 Ph: (321) 268-6111 |