Jennifer Kundrat, CRNP | |
1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 | |
(386) 274-2977 | |
(386) 274-2997 |
Full Name | Jennifer Kundrat |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1671 N Clyde Morris Blvd, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174922769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9438010 (Florida) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | SP014119 (Pennsylvania) | Secondary |
Entity Name | St. Augustine Foot & Ankle, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649409756 PECOS PAC ID: 5294873089 Enrollment ID: O20091116000569 |
Entity Name | Heal Precisely Of Northside Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093433674 PECOS PAC ID: 9537544853 Enrollment ID: O20220922000091 |
Entity Name | Saberi Advanced Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578264818 PECOS PAC ID: 1052778479 Enrollment ID: O20230531000061 |
Entity Name | Heal Precisely Of Tampa Bay Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588348262 PECOS PAC ID: 5698139327 Enrollment ID: O20230914001111 |
Entity Name | St. Augustine Foot & Ankle, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235916123 PECOS PAC ID: 5294873089 Enrollment ID: O20231011002271 |
Entity Name | Wound Care Physicians Of Tampa Bay Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245056522 PECOS PAC ID: 6002344272 Enrollment ID: O20250115003456 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Kundrat, CRNP 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 Ph: (386) 274-2977 | Jennifer Kundrat, CRNP 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 Ph: (386) 274-2977 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Debra Dowell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Souad Omri, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |