| Lisbet Garrido Samon, | |
|
2016 Derbywood Dr, Brandon, FL 33510-2214 | |
| (786) 307-6283 | |
| Not Available |
| Full Name | Lisbet Garrido Samon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2016 Derbywood Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770335168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11031108 (Florida) | Primary |
| Entity Name | Vitalis Wellness Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922876580 PECOS PAC ID: 6800321571 Enrollment ID: O20241119002288 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisbet Garrido Samon, 2016 Derbywood Dr, Brandon, FL 33510-2214 Ph: (786) 307-6283 | Lisbet Garrido Samon, 2016 Derbywood Dr, Brandon, FL 33510-2214 Ph: (786) 307-6283 |
Mindy Connors, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511 Phone: 813-684-6000 | |
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Mrs. Kimberly Mcfarling Davis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1771 S Kings Ave, Brandon, FL 33511 Phone: 813-345-4044 | |
Derek Hoffert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Herbert Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1307 Providence Rd, Brandon, FL 33511 Phone: 813-655-4646 Fax: 813-655-4113 | |
Maylin Barrios, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 Medical Care Dr, Brandon, FL 33511 Phone: 813-448-2081 | |
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Nikki View Dr, Brandon, FL 33511 Phone: 813-947-3050 Fax: 813-436-0809 |