Juan Caraballo Vazquez, | |
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
(912) 435-6965 | |
Not Available |
Full Name | Juan Caraballo Vazquez |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215631015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4559 (Puerto Rico) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11023166 (Florida) | Primary |
Entity Name | Pr Pain Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720488596 PECOS PAC ID: 9133441157 Enrollment ID: O20141202001987 |
Mailing Address | Practice Location Address |
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Juan Caraballo Vazquez, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Juan Caraballo Vazquez, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
Lariann S Ross, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Dmc/imc, Fort Stewart, GA 31314 Phone: 912-435-5706 Fax: 912-435-5569 | |
Cheryl A. Allen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Ste 1003, Winn Army Community Hospital, Fort Stewart, GA 31314 Phone: 912-315-3991 Fax: 912-315-4927 | |
Mrs. Claudia Bradford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Ms. Marina Victorovna Nedospasova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687 | |
Mrs. Erika Burke, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Karen Lynn Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687 | |
Bozhena Tabakman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5353 |