| Kelly Cox, | |
|
1680 The Greens Way Ste 200, Jacksonville Beach, FL 32250-1422 | |
| (904) 800-7380 | |
| (904) 467-8932 |
| Full Name | Kelly Cox |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1680 The Greens Way Ste 200, Jacksonville 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 |
|---|---|---|---|
| 1275937179 | NPI | - | NPPES |
| 003159917A | Medicaid | GA | |
| 013647700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 9270387 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 9270387 (Florida) | Primary |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | Pure Healthcare Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093308397 PECOS PAC ID: 8729496500 Enrollment ID: O20210415000893 |
| Entity Name | Florida Memory Care And Neurology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700479094 PECOS PAC ID: 1951719459 Enrollment ID: O20210422000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Cox, 1680 The Greens Way Ste 200, Jacksonville Beach, FL 32250-1422 Ph: (904) 800-7380 | Kelly Cox, 1680 The Greens Way Ste 200, Jacksonville Beach, FL 32250-1422 Ph: (904) 800-7380 |
Nicole Thomas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250 Phone: 904-249-3743 Fax: 904-249-2047 | |
Glynnis Marie Winfree, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250 Phone: 904-223-3321 Fax: 904-223-2169 | |
Kenneth C Ryan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250 Phone: 904-249-1041 Fax: 904-249-9764 | |
Mrs. Erica Francisca Andrade, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-982-0885 | |
Ms. Michelle M Krawczyk, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-9899 | |
Lindsay Vines, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S Ste 180, Jacksonville Beach, FL 32250 Phone: 850-247-4300 | |
Ms. Shirley Lynn Fabrizio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |