| Justine F Fager-bennett, APRN | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-6000 | |
| (317) 705-5047 |
| Full Name | Justine F Fager-bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 301 Memorial Medical Pkwy, 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 |
|---|---|---|---|
| 1821440694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN3198542 (Florida) | Primary |
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Justine F Fager-bennett, APRN 2555 S Atlantic Ave Apt 1604, Daytona Beach Shores, FL 32118-5537 Ph: (386) 566-7431 | Justine F Fager-bennett, APRN 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-6000 |
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 | |
Lyne E Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Souad Omri, FNP Nurse Practitioner Medicare: Medicare Enrolled 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 |