| Amanda Dodge, | |
|
717 Imar Dr, Sun City Center, FL 33573-5368 | |
| (813) 634-3500 | |
| Not Available |
| Full Name | Amanda Dodge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 717 Imar Dr, Sun City Center, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497561153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11036213 (Florida) | Primary |
| Entity Name | Sunshine Neurology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720172604 PECOS PAC ID: 1759486384 Enrollment ID: O20070410000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dodge, 1518 Custer Bayou St, Ruskin, FL 33570-7630 Ph: () - | Amanda Dodge, 717 Imar Dr, Sun City Center, FL 33573-5368 Ph: (813) 634-3500 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 | |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 | |
Guedry Edouard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15407 Ibis Fall Pl, Sun City Center, FL 33573 Phone: 239-692-1157 | |
Renette Charles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7209 Wash Island Dr, Sun City Center, FL 33573 Phone: 813-948-1310 | |
Ms. Diana Theresa Burchett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 S Pebble Beach Blvd Ste 202c, Sun City Center, FL 33573 Phone: 813-954-0363 Fax: 813-644-5745 |