| Mandy Lazaro Diaz Gamez, | |
|
365 Kantor Blvd, Casselberry, FL 32707-5761 | |
| (407) 516-1766 | |
| Not Available |
| Full Name | Mandy Lazaro Diaz Gamez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 365 Kantor Blvd, Casselberry, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518828565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F11250433 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Experts Health Network, Llc | 6608195599 | 99 |
| Entity Name | Jacob Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174714414 PECOS PAC ID: 8820184500 Enrollment ID: O20071010000592 |
| Entity Name | Intensive Care Experts Health Network, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164824397 PECOS PAC ID: 6608195599 Enrollment ID: O20150427001036 |
| Entity Name | Mobile Wound Care Services- Florida PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023803400 PECOS PAC ID: 9830694199 Enrollment ID: O20250926000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Lazaro Diaz Gamez, 365 Kantor Blvd, Casselberry, FL 32707-5761 Ph: (407) 516-1766 | Mandy Lazaro Diaz Gamez, 365 Kantor Blvd, Casselberry, FL 32707-5761 Ph: (407) 516-1766 |
Samantha Jane Figueiras, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765 |
Robyn Stephanie Bishop, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2008 Varick Way, Casselberry, FL 32707 Phone: 407-913-2921 |
Margaret Smith Lynch, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3950 Haynes Cir, Casselberry, FL 32707 Phone: 571-315-1373 Fax: 571-315-1373 |
Cynthia Trujillo Planadeball, APRN, FNP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765 |
Kathie Jane Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3385 S Us Highway 17/92, Casselberry, FL 32707 Phone: 407-260-1992 Fax: 407-260-9210 |
Lenin Faisury Restrepo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 State Road 436, Casselberry, FL 32707 Phone: 407-322-8645 |
Mrs. Rosanne Catherine Shinkle, MN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd Ste 111, Casselberry, FL 32730 Phone: 407-332-6506 Fax: 407-830-4073 |