| Khamphou Manivanh Mosley, FNP-BC | |
| 1100 N Parrott Ave, Okeechobee, FL 34972-2129 | |
| (863) 763-7481 | |
| (844) 542-4899 | 
| Full Name | Khamphou Manivanh Mosley | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1100 N Parrott Ave, Okeechobee, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093205049 | NPI | - | NPPES | 
| Entity Name | Florida Community Health Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851518211 PECOS PAC ID: 9931017126 Enrollment ID: O20040515000037 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Khamphou Manivanh Mosley, FNP-BC 5827 Corporate Way, West Palm Beach, FL 33407-2000 Ph: (561) 844-9443 | Khamphou Manivanh Mosley, FNP-BC 1100 N Parrott Ave, Okeechobee, FL 34972-2129 Ph: (863) 763-7481 | 
| Audreylyn Waldo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1713 Hwy 441 North, Suite C, Okeechobee, FL 34972 Phone: 863-467-2159 Fax: 863-763-0681 | |
| Kyla Danielle Hargraves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Se Park St, Okeechobee, FL 34972 Phone: 863-763-1107 | |
| Nathalie Grant,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 863-763-5920 | |
| Nancy Lynn Saunders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1713 Us Highway 441 N, Suite D, Okeechobee, FL 34972 Phone: 863-467-1117 | |
| Jo Anne Weiss, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-1951 Fax: 863-357-2991 | |
| David Guzak,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Nw 5th Ave, Okeechobee, FL 34972 Phone: 863-261-8354 |