| Colleen J Dodson, FNP-BC | |
| 
					1931 Ortega St, Navarre, FL 32566-4111  | |
| (850) 684-1410 | |
| (833) 989-0937 | 
| Full Name | Colleen J Dodson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1931 Ortega St, Navarre, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669100459 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11021326 (Florida) | Primary | 
| Entity Name | Seaside Primary Care & Psychiatry, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730704875 PECOS PAC ID: 0143643189 Enrollment ID: O20200708003394  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Colleen J Dodson, FNP-BC 1931 Ortega St, Navarre, FL 32566-4111 Ph: (850) 684-1410  | Colleen J Dodson, FNP-BC 1931 Ortega St, Navarre, FL 32566-4111 Ph: (850) 684-1410  | 
Rohona Mascharak, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7552 Navarre Pkwy Unit 43, Navarre, FL 32566 Phone: 850-433-1656 Fax: 850-433-1996  | |
Grace Francis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1931 Ortega St, Navarre, FL 32566 Phone: 850-684-1410 Fax: 833-989-0937  | |
Miss Ivonne Fabiola Nieves, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7530 Treasure St, Navarre, FL 32566 Phone: 850-936-8083  | |
Melanie Neuner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7456 Navarre Pkwy, Navarre, FL 32566 Phone: 850-626-5459  | |
Benjamin Richard Glidden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Estrada St, Navarre, FL 32566 Phone: 850-496-6868  | |
Connie Marie Slaughter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1772 Sea Lark Ln, Navarre, FL 32566 Phone: 850-939-9721 Fax: 850-684-3066  | |
Jennifer Ford Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1410 Nautilus Dr, Navarre, FL 32566 Phone: 571-512-2063  |