| Lilialis Collazo Yambo, APRN | |
|
2906 17th St, Saint Cloud, FL 34769-6006 | |
| (321) 841-7856 | |
| (321) 843-6432 |
| Full Name | Lilialis Collazo Yambo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2906 17th St, Saint Cloud, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851971691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11011670 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN11011670 (Florida) | Primary |
| Entity Name | Nephrology Associates Of Central Florida, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346297173 PECOS PAC ID: 2567359375 Enrollment ID: O20040304000307 |
| Entity Name | Premier Med Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053877506 PECOS PAC ID: 1557603370 Enrollment ID: O20190614000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilialis Collazo Yambo, APRN 2906 17th St, Saint Cloud, FL 34769-6006 Ph: (321) 841-7856 | Lilialis Collazo Yambo, APRN 2906 17th St, Saint Cloud, FL 34769-6006 Ph: (321) 841-7856 |
Lynette Whaley Bryant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 17th St Ste A, Saint Cloud, FL 34769 Phone: 407-892-0009 | |
Lorraine Ann Wesenberg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Yellow Brick Rd, Saint Cloud, FL 34772 Phone: 888-646-2273 | |
Vera Lee Ahmad, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1417 Hamlin Ave Unit F, Saint Cloud, FL 34771 Phone: 800-925-1840 Fax: 800-521-9406 | |
Ms. Stacey Gedeon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4985 Rain Shadow Dr, Saint Cloud, FL 34772 Phone: 321-750-6711 | |
Betty Tello, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2013 Live Oak Blvd Ste C, Saint Cloud, FL 34771 Phone: 407-593-2388 Fax: 407-593-2392 | |
Libby Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-743-9373 | |
Rukmini Gangapersaud, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 17th St, Saint Cloud, FL 34769 Phone: 407-892-0009 |