| Angela Gosselin, APRN | |
|
1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4821 | |
| (904) 264-9555 | |
| (888) 540-2519 |
| Full Name | Angela Gosselin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1680 Eagle Harbor Pkwy Ste A, Fleming Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467202671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN03993 (Rhode Island) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11034682 (Florida) | Primary |
| Entity Name | Northwest Community Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801951397 PECOS PAC ID: 1355250663 Enrollment ID: O20050308000422 |
| Entity Name | Coastal Medical Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Gosselin, APRN Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Angela Gosselin, APRN 1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4821 Ph: (904) 264-9555 |
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227 | |
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Vanessa Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315 | |
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972 | |
Saphina Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527 | |
Mr. Scott Alan Shirley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003 Phone: 904-886-9686 Fax: 904-253-6964 | |
Mrs. Candice Christina O'connell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1929 Adler Nest Ln, Fleming Island, FL 32003 Phone: 904-626-8010 |