| Mrs Lizbeth Martin, PA-C | |
|
3131 Innovation Dr, Saint Cloud, FL 34769-6501 | |
| (407) 498-0071 | |
| (407) 498-0073 |
| Full Name | Mrs Lizbeth Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3131 Innovation Dr, 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 |
|---|---|---|---|
| 1942586771 | NPI | - | NPPES |
| 003120311A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2216 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA9106466 (Florida) | Primary |
| Entity Name | Aylo Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lizbeth Martin, PA-C 3131 Innovation Dr, Saint Cloud, FL 34769-6501 Ph: (407) 498-0071 | Mrs Lizbeth Martin, PA-C 3131 Innovation Dr, Saint Cloud, FL 34769-6501 Ph: (407) 498-0071 |
Miss Tonya K Politano, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2155 Nolte Rd, Saint Cloud, FL 34772 Phone: 407-846-9247 Fax: 407-846-4430 | |
Marcus Castillo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3866 Spirited Cir, Saint Cloud, FL 34772 Phone: 407-414-2642 | |
Sierra A Hobbs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 17th St, Saint Cloud, FL 34769 Phone: 407-892-0009 Fax: 407-892-3285 | |
Brenda Givargidze, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 689-588-5588 | |
Mr. James E Bradley Ii, RN, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4944 Oakway Dr, Saint Cloud, FL 34771 Phone: 904-885-5363 | |
Susan K D Addario Yee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2929 Fieldwood Cir, Saint Cloud, FL 34772 Phone: 407-751-0033 | |
Dr. Jose Enrique Molina Sr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3100 17th St Ste B, Saint Cloud, FL 34769 Phone: 407-908-7310 Fax: 844-388-6186 |