| Lindsey K Busch, ARNP | |
|
711 Beville Rd, South Daytona, FL 32119-1823 | |
| (386) 760-8116 | |
| (888) 486-1253 |
| Full Name | Lindsey K Busch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 711 Beville Rd, South Daytona, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710470299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9318209 (Florida) | Primary |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey K Busch, ARNP 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 500-2000 | Lindsey K Busch, ARNP 711 Beville Rd, South Daytona, FL 32119-1823 Ph: (386) 760-8116 |
Wendy Carol Boone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 Katherine St, South Daytona, FL 32119 Phone: 321-749-4524 | |
Matthew Hal Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2435 Kenilworth Ave, South Daytona, FL 32119 Phone: 386-334-0061 | |
Cassandra Jane (robertson) Mccathran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Beville Rd, South Daytona, FL 32119 Phone: 386-304-3444 Fax: 386-304-3403 | |
Yesenia Mary Malave Vazquez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2241 Brian Ave, South Daytona, FL 32119 Phone: 386-547-0554 | |
Myrna Del Carmen Colom, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 322 Big Tree Rd, South Daytona, FL 32119 Phone: 386-310-8745 | |
James Kulis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000 |