| Jessica Avila, ARNP | |
|
603 N Flamingo Road, Ste 157, Pembroke Pines, FL 33028 | |
| (954) 265-4325 | |
| (954) 438-5191 |
| Full Name | Jessica Avila |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 603 N Flamingo Road, Pembroke Pines, 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 |
|---|---|---|---|
| 1306106844 | NPI | - | NPPES |
| 017950300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP 9250148 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital West | Pembroke pines, FL | Hospital |
| Memorial Hospital Miramar | Miramar, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Broward Hospital District | 8123927373 | 589 |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Avila, ARNP 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685 | Jessica Avila, ARNP 603 N Flamingo Road, Ste 157, Pembroke Pines, FL 33028 Ph: (954) 265-4325 |
Maria Antonieta Alfonso, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9050 Pines Blvd Ste 150, Pembroke Pines, FL 33024 Phone: 954-872-0555 Fax: 954-256-6047 | |
Elizabeth Martin Boada, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 N University Dr # A, Pembroke Pines, FL 33024 Phone: 954-963-2151 | |
Anup Desai, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 880 Sw 145th Ave Ste 202, Pembroke Pines, FL 33027 Phone: 866-849-0692 | |
Mariam Melina Tosado, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17009 Pines Blvd, Pembroke Pines, FL 33027 Phone: 954-737-3158 | |
Geo Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13841 Nw 23rd St, Pembroke Pines, FL 33028 Phone: 954-529-4593 | |
Mrs. Tricia A Riddle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 Sw 145th Ave Ste 202, Pembroke Pines, FL 33027 Phone: 866-849-0692 | |
Natalie Doyley-green, APRN, PMHNP-BC, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 Nw 150th Ave Ste 120, Pembroke Pines, FL 33028 Phone: 954-431-9838 Fax: 954-241-6726 |