| Anthony Mark Laquidara, ARNP | |
|
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
| (912) 247-2499 | |
| Not Available |
| Full Name | Anthony Mark Laquidara |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2001 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992313712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11008161 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11008161 (Florida) | Primary |
| Entity Name | Memorial Family Practice Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
| Entity Name | Wekiva Springs Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942471065 PECOS PAC ID: 0042395931 Enrollment ID: O20140818001428 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Mark Laquidara, ARNP 5075 Ortega Cove Cir, Jacksonville, FL 32244-3202 Ph: (904) 349-0078 | Anthony Mark Laquidara, ARNP 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (912) 247-2499 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Christin Bagley, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 906 Blanding Blvd, Orange Park, FL 32065 Phone: 850-319-1491 | |
Amonae Danyel Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 |