| Dianka Perez, | |
|
104 Sw 24th Ave, Fort Lauderdale, FL 33312-1450 | |
| (954) 366-8151 | |
| Not Available |
| Full Name | Dianka Perez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 104 Sw 24th Ave, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154974830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 11003364 (Florida) | Primary |
| Entity Name | Cogent Healthcare Of Pensacola Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287182 PECOS PAC ID: 1153226766 Enrollment ID: O20031205000170 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Guidewell Sanitas I, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Entity Name | Premier Healthcare Centers, Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669931762 PECOS PAC ID: 5294064176 Enrollment ID: O20190903002516 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianka Perez, 20200 W Dixie Hwy Ste 1108, Aventura, FL 33180-1922 Ph: (786) 275-3725 | Dianka Perez, 104 Sw 24th Ave, Fort Lauderdale, FL 33312-1450 Ph: (954) 366-8151 |
Jessica Francois, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 31st Ave, Fort Lauderdale, FL 33311 Phone: 954-467-4700 | |
Nicole K Rodolpho, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2601 W Broward Blvd Rm 329, Fort Lauderdale, FL 33312 Phone: 954-458-1199 Fax: 877-245-1839 | |
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Broward Blvd, Fort Lauderdale, FL 33312 Phone: 954-463-7313 Fax: 954-527-6003 | |
Samantha Shoshana Petrillo, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL 33316 Phone: 954-763-6655 Fax: 954-763-6799 | |
Mrs. Stacy Ann Krause, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-8000 | |
Melissa Shaffer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4943 N Harbor Isles Dr, Fort Lauderdale, FL 33312 Phone: 954-625-5966 | |
Mrs. Holly Hirnyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 614-679-7841 |