| Mrs Devadah La Jeune King, APRN | |
|
1296 W Broad St, Groveland, FL 34736-2012 | |
| (407) 905-8827 | |
| (352) 429-5606 |
| Full Name | Mrs Devadah La Jeune King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 1296 W Broad St, Groveland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568990315 | NPI | - | NPPES |
| 022286700 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers, Inc | 4082515390 | 46 |
| Orlando Inpatient Medicine Pa | 0749598316 | 54 |
| Entity Name | Community Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Orlando Inpatient Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902287899 PECOS PAC ID: 0749598316 Enrollment ID: O20150930002967 |
| Entity Name | Florida Med-psych Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063905925 PECOS PAC ID: 5799115713 Enrollment ID: O20200415001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Devadah La Jeune King, APRN 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827 | Mrs Devadah La Jeune King, APRN 1296 W Broad St, Groveland, FL 34736-2012 Ph: (407) 905-8827 |
Mrs. Alicia Pool Hanlon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 S Main Ave, Groveland, FL 34736 Phone: 352-409-4782 |
Shadia A Monos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 558 E Waldo St, Groveland, FL 34736 Phone: 786-488-7838 |
Janice Darden Krivan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-5606 |
Ebony Omara Walker-newberry, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 184 Jensen Dr, Groveland, FL 34736 Phone: 352-777-6312 |
Janee Rocha, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3046 Sunscape Ter, Groveland, FL 34736 Phone: 407-234-5558 |
Lymarie M. Vilella, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Prairie Falcon Dr, Groveland, FL 34736 Phone: 787-409-3993 |
Ginger Skinner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6334 Millstream Dr, Groveland, FL 34736 Phone: 863-557-0801 |