| Diana Maureen Edmonson, | |
|
2121 Collier Pkwy, Land O Lakes, FL 34639-5286 | |
| (813) 948-3986 | |
| Not Available |
| Full Name | Diana Maureen Edmonson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2121 Collier Pkwy, Land O Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871786103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 9258069 (Florida) | Primary |
| Entity Name | Rad Gharavi Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144495144 PECOS PAC ID: 0547336091 Enrollment ID: O20200720000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Maureen Edmonson, 2121 Collier Pkwy, Land O Lakes, FL 34639-5286 Ph: (813) 948-3986 | Diana Maureen Edmonson, 2121 Collier Pkwy, Land O Lakes, FL 34639-5286 Ph: (813) 948-3986 |
Mrs. Jessilyn Emma Perez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3742 Tristram Loop, Land O Lakes, FL 34638 Phone: 813-453-8258 | |
Ailyn Arias Quijano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7040 Land O Lakes Blvd Ste 103-104, Land O Lakes, FL 34638 Phone: 813-803-7907 | |
Lacey Nixon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5904 Desert Peace Ave, Land O Lakes, FL 34639 Phone: 813-766-3950 | |
Mrs. Holly Marie Boyd, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638 Phone: 813-949-2950 Fax: 813-949-2924 | |
Alon Padraig Corrigan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22150 Bell Harbor Dr, Land O Lakes, FL 34639 Phone: 813-395-4596 | |
Erin Balthazar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7842 Land O Lakes Blvd, Land O Lakes, FL 34638 Phone: 813-551-2830 | |
Brian Goldich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4111 Land O Lakes Blvd, Land O Lakes, FL 34639 Phone: 813-929-2750 |