| Kelly Carpenter, APRN | |
|
1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | |
| (863) 657-0710 | |
| (863) 657-0711 |
| Full Name | Kelly Carpenter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1659 Us Highway 27 N Unit 102, Avon Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386459956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11037632 (Florida) | Primary |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Carpenter, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Kelly Carpenter, APRN 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 Ph: (863) 657-0710 |
Sasha Arbona Roman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 Phone: 863-657-0710 Fax: 863-657-0711 | |
Tesha Lee Baker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-452-2823 | |
Miss Esmeralda Gonzales, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 County Road 17a W, Avon Park, FL 33825 Phone: 866-234-8534 | |
Ashlynne Feely Langford, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Us Highway 27 N, Avon Park, FL 33825 Phone: 863-453-7337 Fax: 863-452-9790 | |
Ms. Jennifer Mariani, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 596 Us Highway 27 N, Avon Park, FL 33825 Phone: 863-314-8555 | |
Linda J Stevenson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-453-3123 | |
Teresa Pierre Mcdowall, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 County Road 17a W, Avon Park, FL 33825 Phone: 863-452-3000 |