| Blake A Gelb, | |
|
601 E Dixie Ave Ste 901, Leesburg, FL 34748-7308 | |
| (352) 728-2404 | |
| (352) 787-7401 |
| Full Name | Blake A Gelb |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 601 E Dixie Ave Ste 901, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497472781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11021808 (Florida) | Primary |
| Entity Name | Lake Ent & Fps, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629091996 PECOS PAC ID: 1759380447 Enrollment ID: O20061206000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake A Gelb, 601 E Dixie Ave Ste 901, Leesburg, FL 34748-7308 Ph: (352) 728-2404 | Blake A Gelb, 601 E Dixie Ave Ste 901, Leesburg, FL 34748-7308 Ph: (352) 728-2404 |
Lino Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E. Dixie Avenue, Lrmc Urgent Care, Leesburg, FL 34748 Phone: 352-323-2273 | |
Melissa Rodden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E North Blvd, Leesburg, FL 34748 Phone: 352-435-7938 Fax: 352-435-7938 | |
Mr. Jared Saint John, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-273-8610 | |
Debra A Guitz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270 | |
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Centcha Cimeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave Apt 201, Leesburg, FL 34748 Phone: 904-557-0505 |