| Matthew Dedrick, ARNP | |
|
18550 Us Highway 441, Mount Dora, FL 32757-6751 | |
| (352) 735-3755 | |
| (352) 735-3151 |
| Full Name | Matthew Dedrick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 18550 Us Highway 441, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801304530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9383368 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9383368 (Florida) | Primary |
| Entity Name | Physicians of Central Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861421018 PECOS PAC ID: 5395712764 Enrollment ID: O20040914001352 |
| Entity Name | Fl-i Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Physicians of Mid Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366992463 PECOS PAC ID: 7012296502 Enrollment ID: O20161128002695 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Dedrick, ARNP 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755 | Matthew Dedrick, ARNP 18550 Us Highway 441, Mount Dora, FL 32757-6751 Ph: (352) 735-3755 |
Ms. Carol J Kirkland, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495 |
Stacy Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 |
Kristen Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Wolf Ridge Ln, Mount Dora, FL 32757 Phone: 352-219-2215 |
Sharon Molok, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 |
Mrs. Anna Nora Walls, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 |
Juanita Christine Robbins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757 Phone: 352-800-5101 |
Mycose Laurent, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4979 Golden Zenith Way, Mount Dora, FL 32757 Phone: 954-479-0814 |