| Keira Randall, NP | |
| 
					7105 Mariner Blvd, Spring Hill, FL 34609-1048  | |
| (352) 596-1339 | |
| Not Available | 
| Full Name | Keira Randall | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 7105 Mariner Blvd, Spring Hill, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003658428 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11033257 (Florida) | Primary | 
| Entity Name | Nova Medical Services - Dermatology Division Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861137655 PECOS PAC ID: 1850771916 Enrollment ID: O20220707000068  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keira Randall, NP 6582 Wagon Trail St, Zephyrhills, FL 33541-2556 Ph: (813) 606-8110  | Keira Randall, NP 7105 Mariner Blvd, Spring Hill, FL 34609-1048 Ph: (352) 596-1339  | 
Damaris Perez Castro,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2047 Deborah Dr, Spring Hill, FL 34609 Phone: 786-286-5057  | |
Ms. Michelle Annette Perez, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6475 Sugar Tree Dr, Spring Hill, FL 34607 Phone: 352-573-7640  | |
Mrs. Heather Spooner, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5350 Spring Hill Dr, Spring Hill, FL 34606 Phone: 352-688-8116 Fax: 352-686-9477  | |
Tiffany Dawn Westbrook, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Mariner, Spring Hill, FL 34609 Phone: 352-688-0100  | |
Mara Lee Beebe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11063 County Line Rd, Spring Hill, FL 34609 Phone: 352-688-7744 Fax: 352-688-8822  | |
Tina Michelle Mcnaughton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4214 Canongate Ct, Spring Hill, FL 34609 Phone: 352-494-4710  |