| Kelli Avant, | |
|
1685 Arash Cir, Port Orange, FL 32128-7323 | |
| (254) 462-5388 | |
| Not Available |
| Full Name | Kelli Avant |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1685 Arash Cir, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467036293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 758199 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1127535 (Texas) | Primary |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Avant, 1685 Arash Cir, Port Orange, FL 32128-7323 Ph: () - | Kelli Avant, 1685 Arash Cir, Port Orange, FL 32128-7323 Ph: (254) 462-5388 |
Mr. Terry Lee Moyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6053 Sabal Creek Blvd, Port Orange, FL 32128 Phone: 386-299-9866 | |
Candace Beth Donley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1690 Dunlawton Ave, Suite 225, Port Orange, FL 32127 Phone: 386-481-6674 Fax: 386-271-2274 | |
Alejandro Knight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1690 Dunlawton Ave, Suite 210, Port Orange, FL 32127 Phone: 386-481-6674 Fax: 386-271-2274 | |
Teresa A Conner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4122 Halifax Dr, Port Orange, FL 32127 Phone: 386-237-4420 | |
Mr. Thomas Richard Baldwin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 500, Port Orange, FL 32129 Phone: 386-868-5034 | |
Mrs. Theresa Sarioglu Turkel, CRNA, ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 704 Overlook Trl, Port Orange, FL 32127 Phone: 386-679-7696 Fax: 866-894-0661 | |
Ambili Gopinathan Nair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6216 Morning Drive, Port Orange, FL 32127 Phone: 203-807-0178 |