| Mina Serena Manaog Reburiano, APRN | |
| 
					10489 N Florida Ave, Citrus Springs, FL 34434-3268  | |
| (352) 489-2486 | |
| (352) 489-5786 | 
| Full Name | Mina Serena Manaog Reburiano | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 10489 N Florida Ave, Citrus Springs, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285472795 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9522281 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11035516 (Florida) | Primary | 
| Entity Name | West Florida Medical Associates, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265515001 PECOS PAC ID: 9032023221 Enrollment ID: O20040401000131  | 
| Entity Name | Nature Coast Geriatric Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417340654 PECOS PAC ID: 0244541282 Enrollment ID: O20150617003035  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mina Serena Manaog Reburiano, APRN 3831 W Crystal Downs Path, Lecanto, FL 34461-7824 Ph: (929) 423-6782  | Mina Serena Manaog Reburiano, APRN 10489 N Florida Ave, Citrus Springs, FL 34434-3268 Ph: (352) 489-2486  | 
Mrs. Sheila Malto Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786  | |
Mr. Alexander Tan Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786  | |
Samantha Jackson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7972 N Oberon Ter, Citrus Springs, FL 34434 Phone: 352-857-7418  | |
Maria Juvy Villacastin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9531 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-489-2486  | |
Cathleen M. Kelley-weidemann, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10334 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-527-0707 Fax: 352-489-7512  | |
Mrs. Angela Elaine Mcgonigal, ARNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-341-5520  |