| Elizabeth Leon Corcoba, MSN, APRN, FNP-C | |
|
8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896-8311 | |
| (863) 521-4497 | |
| (815) 205-4677 |
| Full Name | Elizabeth Leon Corcoba |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 8390 Champions Gate Blvd Ste 108, Champions Gate, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740948355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11016813 (Florida) | Primary |
| 207Q00000X | Family Medicine | 11016813 (Florida) | Secondary |
| Entity Name | Vitality Regenerative Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801473699 PECOS PAC ID: 3971903410 Enrollment ID: O20231211000778 |
| Entity Name | Whc of Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871331462 PECOS PAC ID: 8729510300 Enrollment ID: O20241021003367 |
| Entity Name | Corcoba Family Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639046345 PECOS PAC ID: 6709362593 Enrollment ID: O20260112001906 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Leon Corcoba, MSN, APRN, FNP-C 8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896-8311 Ph: (863) 521-4497 | Elizabeth Leon Corcoba, MSN, APRN, FNP-C 8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896-8311 Ph: (863) 521-4497 |
Robert Fore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8390 Champions Gate Blvd, Suite 108, Champions Gate, FL 33896 Phone: 407-900-0390 |
Kizito Lotachukwu Mbaekwe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Nine Iron Dr, Champions Gate, FL 33896 Phone: 561-633-6392 |
Dr. Christine Marie Pales, DNP, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896 Phone: 407-683-9205 |
Frainelys Cruz Montanez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896 Phone: 321-341-4343 Fax: 321-296-6886 |
Geidi Villar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8297 Champions Gate Blvd Ste 240, Champions Gate, FL 33896 Phone: 407-900-5838 Fax: 206-238-9564 |