| Devora Dionne Fedrick, | |
|
3140 S Falkenburg Rd, Riverview, FL 33578-2574 | |
| (813) 660-7150 | |
| Not Available |
| Full Name | Devora Dionne Fedrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3140 S Falkenburg Rd, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699251959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | ARNP9411595 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Tampa General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
| Mailing Address | Practice Location Address |
|---|---|
| Devora Dionne Fedrick, 3140 S Falkenburg Rd, Riverview, FL 33578-2574 Ph: (813) 660-7150 | Devora Dionne Fedrick, 3140 S Falkenburg Rd, Riverview, FL 33578-2574 Ph: (813) 660-7150 |
Kimberly Havers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8400 | |
Tamara Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5905 Us 301 S, Riverview, FL 33578 Phone: 866-389-2727 | |
Krystle Alvarez, APRN, FNP-C, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Winthrop Lake Dr, Riverview, FL 33578 Phone: 786-897-4540 Fax: 305-418-8971 | |
Claudia Pineda, ARNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10627 Rhodine Rd, Riverview, FL 33578 Phone: 813-605-3235 Fax: 813-605-6229 | |
Jessica Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-393-0278 | |
Michaella Phanord, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11409 Misty Isle Ln, Riverview, FL 33579 Phone: 954-663-1069 | |
Melissa Garrison Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7229 Us Highway 301 S, Riverview, FL 33578 Phone: 813-677-8418 Fax: 813-355-5906 |