| Kelli Lauren Coon, PA-C | |
|
1920 Don Wickham Dr Ste 215, Clermont, FL 34711-1977 | |
| (352) 437-8049 | |
| (352) 394-8804 |
| Full Name | Kelli Lauren Coon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1920 Don Wickham Dr Ste 215, Clermont, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154021756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117165 (Florida) | Primary |
| Entity Name | Health First Privia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Lauren Coon, PA-C 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3724 | Kelli Lauren Coon, PA-C 1920 Don Wickham Dr Ste 215, Clermont, FL 34711-1977 Ph: (352) 437-8049 |
Tina Jing-yuen So, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1900 Don Wickham Dr Ste 120, Clermont, FL 34711 Phone: 352-241-7050 |
Dr. Yanet Lopez Valdes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 245 Citrus Tower Blvd Ste 201, Clermont, FL 34711 Phone: 352-708-3021 Fax: 352-708-6153 |
Michael J Clark, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1099 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-394-4071 Fax: 904-346-0113 |
Camille Suzette Morales Zambrana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2345 E Highway 50, Clermont, FL 34711 Phone: 407-347-8287 |
Melanie Bustamante, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2345 E Hwy 50, Clermont, FL 34711 Phone: 352-717-3760 |
Ms. Anne L Cardaci, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17327 Pagonia Rd, Clermont, FL 34711 Phone: 407-905-6006 Fax: 407-636-7806 |
Alexa Diaz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20400 Sugarloaf Mountain Rd, Clermont, FL 34715 Phone: 954-999-3610 |