| Amanda Vera, APRN | |
| 
					61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164-5999  | |
| (386) 586-1810 | |
| (386) 586-1811 | 
| Full Name | Amanda Vera | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 61 Memorial Medical Pkwy Ste 2815, Palm Coast, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063026482 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11028627 (Florida) | Primary | 
| Entity Name | Memorial Hospital Flagler Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679678486 PECOS PAC ID: 1759371594 Enrollment ID: O20040514000202  | 
| Entity Name | Florida Hospital Healthcare Partners, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Vera, APRN Po Box 946383, Atlanta, GA 30394-6383 Ph: () -  | Amanda Vera, APRN 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164-5999 Ph: (386) 586-1810  | 
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861  | |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333  | |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373  | |
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720  | |
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Cypress Point Pkwy Ste A, Palm Coast, FL 32164 Phone: 386-586-7005 Fax: 844-867-3940  | |
Mrs. Suzanne Korum, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Cypress Point Pkwy Ste A, Palm Coast, FL 32164 Phone: 386-586-7005 Fax: 844-867-3940  |