| Alan John De La Vina, NP | |
| 
					1109 Brielle Ct, Oviedo, FL 32765-5404  | |
| (863) 669-3415 | |
| Not Available | 
| Full Name | Alan John De La Vina | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 1109 Brielle Ct, Oviedo, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699418483 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN9530854 (Florida) | Secondary | 
| 363L00000X | Nurse Practitioner | APRN11028542 (Florida) | Primary | 
| Entity Name | Florida Emergency Physicians Kang And Associates Md Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687  | 
| Entity Name | Revive Transitional Care And In Home Primary Medicine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851096796 PECOS PAC ID: 3870950868 Enrollment ID: O20230607000359  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alan John De La Vina, NP 1109 Brielle Ct, Oviedo, FL 32765-5404 Ph: () -  | Alan John De La Vina, NP 1109 Brielle Ct, Oviedo, FL 32765-5404 Ph: (863) 669-3415  | 
Amy Gilmore,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 Quaker Ridge Ct, Oviedo, FL 32765 Phone: 407-885-3338  | |
Samantha Jane Figueiras,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8400 Red Bug Lake Rd Ste 1050, Oviedo, FL 32765 Phone: 321-415-1020  | |
Yun Zhao, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Augustine Ct, Oviedo, FL 32765 Phone: 919-918-7883  | |
Natassja Juliette Debra,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1942 W County Road 419, Oviedo, FL 32766 Phone: 407-603-9134  | |
Mr. Ibrahim Shraim, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Red Bug Lake Rd Ste 1008, Oviedo, FL 32765 Phone: 407-542-0911 Fax: 407-542-0950  | |
Rebecca Kochanowicz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Alexandria Blvd Ste 1, Oviedo, FL 32765 Phone: 407-359-7997 Fax: 407-359-6662  | |
Rusha Khanal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1341 Lukas Acres Way, Oviedo, FL 32765 Phone: 617-840-5541  |