| Brent Joseph Lataille, ARNP | |
|
3500 Oak Manor Ln, Largo, FL 33774-1211 | |
| (727) 488-5915 | |
| Not Available |
| Full Name | Brent Joseph Lataille |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3500 Oak Manor Ln, Largo, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598202814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 9261217 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care | Oldsmar, FL | Home health agency |
| Enhabit Home Health | Clearwater, FL | Home health agency |
| Palm Garden Home Health | Seminole, FL | Home health agency |
| Addington Place At College Harbor | Saint petersburg, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Value Based Long Term Care F Pc | 2769922731 | 18 |
| Legacy Health Medical Group, Llc | 5193962173 | 17 |
| Entity Name | Legacy Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881942779 PECOS PAC ID: 5193962173 Enrollment ID: O20130510000372 |
| Entity Name | Careconnectmd Florida P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912632886 PECOS PAC ID: 7911389838 Enrollment ID: O20220809000521 |
| Entity Name | Value Based Long Term Care F PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831921360 PECOS PAC ID: 2769922731 Enrollment ID: O20250527003461 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Joseph Lataille, ARNP 13541 87th Pl, Seminole, FL 33776-2615 Ph: (727) 488-5915 | Brent Joseph Lataille, ARNP 3500 Oak Manor Ln, Largo, FL 33774-1211 Ph: (727) 488-5915 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Bay Dr Ste 326, Largo, FL 33770 Phone: 727-910-5916 Fax: 727-635-2238 |
Joumana Mullah, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13644 Walsingham Rd Fl 2, Largo, FL 33774 Phone: 727-532-0002 |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 |
Ms. Brianna Domenica Bevilaque, MS, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 W Bay Dr Ste C, Largo, FL 33770 Phone: 727-935-0500 Fax: 727-935-0501 |
Radica Singh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 |