| Alexus Black, | |
|
100 Highland Ave N, Largo, FL 33770-2542 | |
| (727) 683-2900 | |
| (727) 683-2901 |
| Full Name | Alexus Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 Highland Ave N, Largo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538741343 | NPI | - | NPPES |
| 112648900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11012613 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexus Black, Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Alexus Black, 100 Highland Ave N, Largo, FL 33770-2542 Ph: (727) 683-2900 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 | |
Alyssa Marie King Ewald, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12224 70th St, Largo, FL 33773 Phone: 727-434-1377 | |
Adissa O. Perez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Highland Ave N, Largo, FL 33770 Phone: 727-683-2900 Fax: 727-683-2901 |