| Kaleb Sistrunk, ARNP-BC | |
| 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | |
| (321) 799-7777 | |
| Not Available | 
| Full Name | Kaleb Sistrunk | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 275 W Cocoa Beach Cswy, Cocoa 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 | 
|---|---|---|---|
| 1447994876 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 657432 (Florida) | Primary | 
| Entity Name | Medfast Urgent Care Centers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 | 
| Entity Name | All Family Walk-in Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558948455 PECOS PAC ID: 0345640249 Enrollment ID: O20210615001397 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kaleb Sistrunk, ARNP-BC 9011 Lithia Pinecrest Rd, Lithia, FL 33547-2815 Ph: (813) 730-3874 | Kaleb Sistrunk, ARNP-BC 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 Ph: (321) 799-7777 | 
| Alisha Ryan Alexander, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7777 | |
| Ms. Brittany Lauren Peeler, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-549-0815 Fax: 321-768-0039 | |
| Laura Ann Dijerome, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Woodland Ave, Cocoa Beach, FL 32931 Phone: 321-799-2840 | |
| Ashley Briscoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-434-6650 Fax: 321-434-5864 | |
| Mrs. Elizabeth Paige Shinn, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Samar Rd, Cocoa Beach, FL 32931 Phone: 321-888-2002 Fax: 321-306-2876 | |
| Karen Ohern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-784-5437 Fax: 321-799-1231 | |
| Sandra M Jennings Ingle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931 Phone: 321-868-5833 Fax: 321-868-5854 |