| Lakisha C Miller, ARNP | |
| 
					1381 S Patrick Dr, Patrick Afb, FL 32925-3606  | |
| (321) 494-8241 | |
| (321) 494-8334 | 
| Full Name | Lakisha C Miller | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 1381 S Patrick Dr, Patrick Afb, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750731840 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 9245644 (Florida) | Primary | 
| Entity Name | David Eschelbacher Md Pl | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992959589 PECOS PAC ID: 7113089574 Enrollment ID: O20081218000214  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakisha C Miller, ARNP 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 Ph: (321) 494-8241  | Lakisha C Miller, ARNP 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 Ph: (321) 494-8241  | 
Naquita Jackson Manning, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, 45th Medical Group, Patrick Afb, FL 32925 Phone: 678-517-7363  | |
Matthew Parker Padgett, FMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8234  | |
Maria Del Pilar Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8334  | |
Randall S Hicks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8423 Fax: 321-494-8334  |