| Fabrina Gilot-gousse, | |
|
7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | |
| (954) 722-5600 | |
| (855) 252-2845 |
| Full Name | Fabrina Gilot-gousse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 7101 W Mcnab Rd Ste 101, Tamarac, 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 |
|---|---|---|---|
| 1710429485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9406404 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | ARNP 9406404 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Continucare Medical Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306033303 PECOS PAC ID: 0749252377 Enrollment ID: O20040812000668 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Fabrina Gilot-gousse, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Fabrina Gilot-gousse, 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 Ph: (954) 722-5600 |
Tessa Yeganeh Shivazad, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 Primrose Ln, Tamarac, FL 33321 Phone: 954-670-4640 | |
Giselle Leon Parra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 N Nob Hill Rd Apt 201, Tamarac, FL 33321 Phone: 754-248-5755 | |
Katherine E Flannery Reeves, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5870 Hiatus Rd, Tamarac, FL 33321 Phone: 800-424-3672 Fax: 954-377-3042 | |
Ms. Patricia C Perez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6463 W Commercial Blvd, Tamarac, FL 33319 Phone: 954-720-1414 Fax: 954-720-4727 | |
Silvia T Mathew, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9800 W Commercial Blvd, Tamarac, FL 33351 Phone: 954-625-8683 | |
Osmel Alba Oliveros, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7495 N University Dr, Tamarac, FL 33321 Phone: 305-534-0076 | |
Mr. Rafael Ernesto Delgado Garcell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11000 Sand Piper Ct, Tamarac, FL 33321 Phone: 619-493-9685 |