| Idamir Jacobs, CRNA | |
|
9320 Us Highway 301 S, Riverview, FL 33578-6300 | |
| (813) 471-0000 | |
| Not Available |
| Full Name | Idamir Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9320 Us Highway 301 S, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760720767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9273683 (Florida) | Primary |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Florida Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
| Entity Name | Orange City Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Affiliated Tampa Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538871934 PECOS PAC ID: 5193190718 Enrollment ID: O20230413001859 |
| Entity Name | Ohi West Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Idamir Jacobs, CRNA 9320 Us Highway 301 S, Riverview, FL 33578-6300 Ph: (813) 471-0000 | Idamir Jacobs, CRNA 9320 Us Highway 301 S, Riverview, FL 33578-6300 Ph: (813) 471-0000 |
Clenten Takwi Ndonwie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11852 Brenford Crest Dr, Riverview, FL 33579 Phone: 651-724-3760 | |
Roel J Trias, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9320 Us Highway 301 S, Riverview, FL 33578 Phone: 813-471-0000 | |
Jessica Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9320 Us Highway 301 S, Riverview, FL 33578 Phone: 813-471-0000 Fax: 656-233-5024 | |
Mrs. Sabrina Leshawn Nelson Winters, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8413 Fax: 813-605-6228 | |
Christian Francis Walz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11315 Emerson Lake Drive, Riverview, FL 33578 Phone: 808-430-2070 | |
Stephanie Grace Bowen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9320 Us Highway 301 S, Riverview, FL 33578 Phone: 813-471-0000 | |
Jennifer Satish Bhakta, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9320 Us Highway 301 S, Riverview, FL 33578 Phone: 813-471-0000 |