| Fred Moline, | |
|
5510 N Hesperides St, Tampa, FL 33614-5414 | |
| (813) 467-6111 | |
| Not Available |
| Full Name | Fred Moline |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5510 N Hesperides St, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649971334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11025185 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Behavioral Sciences- Orlando Llc | 9739420654 | 35 |
| Entity Name | Health Care Center for the Homeless Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235213216 PECOS PAC ID: 6103895107 Enrollment ID: O20101019001089 |
| Entity Name | Forefront Telecare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20180427000403 |
| Entity Name | Thrive Behavioral Sciences- Orlando LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063979730 PECOS PAC ID: 9739420654 Enrollment ID: O20190402002627 |
| Entity Name | Access Telecare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20191014003264 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Citrus County Rural Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740931831 PECOS PAC ID: 0648664698 Enrollment ID: O20220308001949 |
| Entity Name | Miami Beach Tms PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346987005 PECOS PAC ID: 8022485242 Enrollment ID: O20221101001255 |
| Entity Name | Ace Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841094885 PECOS PAC ID: 2668984675 Enrollment ID: O20250625002040 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Moline, 200 S Andrews Ave Ste 504, Fort Lauderdale, FL 33301-2066 Ph: (305) 927-6073 | Fred Moline, 5510 N Hesperides St, Tampa, FL 33614-5414 Ph: (813) 467-6111 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3203 W Tampa Bay Blvd, Tampa, FL 33607 Phone: 813-872-4401 Fax: 813-872-4814 |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |