| Mary J Cunningham Laube, ARNP | |
|
550 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (352) 323-2273 | |
| Not Available |
| Full Name | Mary J Cunningham Laube |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 550 E Dixie Ave, Leesburg, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699706010 | NPI | - | NPPES |
| 021363400 | Medicaid | FL | |
| 303842400 | Medicaid | FL | |
| Y0158 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP2157532 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN2157532 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leesburg Regional Medical Center Inc | 1254228448 | 6 |
| Fmc Urgent Care Llc | 7618166984 | 21 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Leesburg Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245226190 PECOS PAC ID: 1254228448 Enrollment ID: O20040302001078 |
| Entity Name | Adventist Health System/sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Michael W Higgins D O P A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578758314 PECOS PAC ID: 9830143833 Enrollment ID: O20050311000225 |
| Entity Name | Fmc Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563120 PECOS PAC ID: 7618166984 Enrollment ID: O20110118001226 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J Cunningham Laube, ARNP 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 715-0374 | Mary J Cunningham Laube, ARNP 550 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-2273 |
Lino Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E. Dixie Avenue, Lrmc Urgent Care, Leesburg, FL 34748 Phone: 352-323-2273 | |
Melissa Rodden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E North Blvd, Leesburg, FL 34748 Phone: 352-435-7938 Fax: 352-435-7938 | |
Mr. Jared Saint John, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-273-8610 | |
Debra A Guitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270 | |
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Mrs. Centcha Limprevil, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave Apt 201, Leesburg, FL 34748 Phone: 904-557-0505 |