| Bianca Carroll, NP | |
|
580 Lexington Green Lane, Sanford, FL 32771 | |
| (407) 904-0942 | |
| (407) 904-0943 |
| Full Name | Bianca Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 580 Lexington Green Lane, Sanford, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649658030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 183971 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9445365 (Florida) | Primary |
| Entity Name | Wellness And Hydration Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831789015 PECOS PAC ID: 3173937356 Enrollment ID: O20210129000527 |
| Entity Name | Tele Med Clinix Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780204305 PECOS PAC ID: 3577958693 Enrollment ID: O20220328000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Bianca Carroll, NP 580 Lexington Green Lane, Sanford, FL 32771 Ph: (407) 904-0942 | Bianca Carroll, NP 580 Lexington Green Lane, Sanford, FL 32771 Ph: (407) 904-0942 |
Chris Senny Sanchez Del Campo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2078 Apalachicola Ln, Sanford, FL 32771 Phone: 786-328-3134 | |
Jill Christine Kornegay, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Sr 415, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-322-8725 | |
Mrs. Linda Jan Carlson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773 Phone: 407-324-3036 Fax: 407-324-3045 | |
Patricia Anne Bartholomew, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 E 2nd St, Sanford, FL 32771 Phone: 407-875-3700 | |
Lenin Faisury Restrepo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Kelly Cir, Sanford, FL 32773 Phone: 407-638-0404 | |
Arden Monroe-obermeit, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773 Phone: 407-324-3036 | |
Simone Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 |