| Camille Hazlewood, | |
|
905 Historic Goldsboro Blvd, Sanford, FL 32771-2415 | |
| (407) 337-6992 | |
| Not Available |
| Full Name | Camille Hazlewood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 905 Historic Goldsboro Blvd, Sanford, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083299325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1009892 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11009829 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care | Orlando, FL | Home health agency |
| Pinnacle Home Care Of The Villages Inc | Fruitland park, FL | Home health agency |
| Pinnacle Home Care | Winter haven, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quantum Practitioner Services Llc | 7214392810 | 13 |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180515001421 |
| Entity Name | Quantum Practitioner Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194426197 PECOS PAC ID: 7214392810 Enrollment ID: O20230504001086 |
| Entity Name | Florida Rehab Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447941984 PECOS PAC ID: 5890155279 Enrollment ID: O20230717002638 |
| Entity Name | Nexus Wound Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629840004 PECOS PAC ID: 7719337617 Enrollment ID: O20231219000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Hazlewood, 4407 Drexel Ave, Orlando, FL 32808-1901 Ph: (321) 356-7814 | Camille Hazlewood, 905 Historic Goldsboro Blvd, Sanford, FL 32771-2415 Ph: (407) 337-6992 |
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 |