| Mikel James Mineo, APRN | |
| 9320 State Road 54, Trinity, FL 34655-1808 | |
| (727) 842-8411 | |
| (877) 917-2336 | 
| Full Name | Mikel James Mineo | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 9320 State Road 54, Trinity, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235838012 | NPI | - | NPPES | 
| 117575000 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11024985 (Florida) | Primary | 
| 363L00000X | Nurse Practitioner | APRN11024985 (Florida) | Secondary | 
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 | 
| Entity Name | Florida Cancer Specialists & Research Institute, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mikel James Mineo, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Mikel James Mineo, APRN 9320 State Road 54, Trinity, FL 34655-1808 Ph: (727) 842-8411 | 
| Natalie Eudora Bastien, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2044 Trinity Oaks Blvd Ste 220, Trinity, FL 34655 Phone: 727-645-6900 Fax: 727-372-8989 | |
| Jerrica Sawyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3539 Little Rd, Trinity, FL 34655 Phone: 727-846-9419 Fax: 727-816-8707 | |
| Rachel Kristen Morin,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 | |
| Phuong Quyen Thi Dinh-bailey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 Short Branch Dr Ste 102, Trinity, FL 34655 Phone: 727-332-0028 | |
| Kimberley Kay Drury, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 | |
| Corie L Bailey,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1815 Health Care Dr Ste B, Trinity, FL 34655 Phone: 727-312-4445 Fax: 727-312-4643 | |
| Ebony Patrice Austin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 |