| Eldon Waters, FNP | |
|
805 E Cr 466, Lady Lake, FL 32159 | |
| (352) 674-9218 | |
| (352) 259-6069 |
| Full Name | Eldon Waters |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 805 E Cr 466, Lady Lake, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538665336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN9385205 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9385205 (Florida) | Primary |
| Entity Name | Sheridan Emergency Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598748030 PECOS PAC ID: 5597665372 Enrollment ID: O20040109000169 |
| Entity Name | Adventist Health System/sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Fl-i Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Urgent Care Centers Of Brevard County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295367290 PECOS PAC ID: 6002238714 Enrollment ID: O20200626000122 |
| Entity Name | Dispatchhealth-florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Eldon Waters, FNP 805 County Road 466, Lady Lake, FL 32159-4205 Ph: (352) 633-7852 | Eldon Waters, FNP 805 E Cr 466, Lady Lake, FL 32159 Ph: (352) 674-9218 |
Ms. Donna Elaine Walker, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13940 N Us Highway 441, Bldg 100 Ste 102, Lady Lake, FL 32159 Phone: 352-751-9900 Fax: 352-753-9438 | |
Melissa Buchkovich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 929 N Us Highway 441 Ste 503, Lady Lake, FL 32159 Phone: 352-245-6922 Fax: 352-245-6988 | |
Maria Pilar Czupryn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159 Phone: 352-753-9777 Fax: 352-753-9781 | |
Astrid Louis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Highway 466, Lady Lake, FL 32159 Phone: 872-231-3162 | |
Patricia Ann Barranca, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13940 N Us Highway 441, Suite 200, Lady Lake, FL 32159 Phone: 352-877-3111 | |
Kelly M Tripp, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159 Phone: 352-561-3290 | |
Mrs. Alexzandria Dwan Marotta, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159 Phone: 352-753-9777 Fax: 352-753-9781 |