| Julia Hagstedt, | |
|
1210 Waterman Way, Tavares, FL 32778-5229 | |
| (352) 343-2364 | |
| (352) 430-0709 |
| Full Name | Julia Hagstedt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1210 Waterman Way, Tavares, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861105256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11004441 (Florida) | Primary |
| Entity Name | Advanced Urology Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Hagstedt, Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Julia Hagstedt, 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 |
Ms. Christine Desantis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1879 Nightingale Lane, Suite C-1, Tavares, FL 32778 Phone: 352-742-1171 Fax: 352-742-7241 | |
Smitha Antony Panjikaran, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Advent Health Hospital, 1000 Waterman Way, Tavares, FL 32778 Phone: 353-253-3333 | |
Debra Babcock, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
Mrs. Aji Valayil Achuthan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 | |
Ashley Megan Concepcion, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1290 Waterman Way Ste 1290, Tavares, FL 32778 Phone: 352-742-0054 | |
Genesis Edlin Guerrero, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1858 Mayo Dr, Tavares, FL 32778 Phone: 352-383-5200 | |
Teri Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3985 Hillingdon Rd, Tavares, FL 32778 Phone: 352-250-0586 |