| Joshua E Kolanko, C-FNP | |
|
16025 Muirfield Dr, Odessa, FL 33556-2861 | |
| (813) 226-3332 | |
| (813) 793-7644 |
| Full Name | Joshua E Kolanko |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 16025 Muirfield Dr, Odessa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086745 | NPI | - | NPPES |
| 008481300 | Medicaid | FL | |
| Y048RQ | Other | FL | MEDICARE |
| 3810002050 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MK1233357 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | ARPR9328710 (Florida) | Primary |
| Entity Name | Adventist Health System/sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Lake Wales Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033480405 PECOS PAC ID: 8022270461 Enrollment ID: O20120502000079 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
| Entity Name | Bravera Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928331 PECOS PAC ID: 7113353103 Enrollment ID: O20200211002165 |
| Entity Name | Continuum Medical Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003464033 PECOS PAC ID: 6608204169 Enrollment ID: O20200316001034 |
| Entity Name | Urgent Care Centers Of Brevard County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295367290 PECOS PAC ID: 6002238714 Enrollment ID: O20200626000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua E Kolanko, C-FNP Po Box 22, Odessa, FL 33556-0022 Ph: (813) 226-3332 | Joshua E Kolanko, C-FNP 16025 Muirfield Dr, Odessa, FL 33556-2861 Ph: (813) 226-3332 |