| Mr Itamar Wall, APRN | |
|
13005 Southern Blvd Ste 221, Loxahatchee, FL 33470-9272 | |
| (561) 517-8678 | |
| (561) 529-5087 |
| Full Name | Mr Itamar Wall |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 13005 Southern Blvd Ste 221, Loxahatchee, 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 |
|---|---|---|---|
| 1982243630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11005498 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jupiter Medical Center | Jupiter, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairway Physical Therapy Llc | 3971563222 | 85 |
| Entity Name | Personalized and Restorative Wellness PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710574413 PECOS PAC ID: 1951710086 Enrollment ID: O20210503000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Itamar Wall, APRN 13005 Southern Blvd Ste 221, Loxahatchee, FL 33470-9272 Ph: (561) 517-8678 | Mr Itamar Wall, APRN 13005 Southern Blvd Ste 221, Loxahatchee, FL 33470-9272 Ph: (561) 517-8678 |
Rita Ann Weber, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-3300 |
Nathalie Garrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14899 82nd Ln N, Loxahatchee, FL 33470 Phone: 561-255-5002 |
Kristin Archer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-6080 |
Sandra Jean-rene, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17549 37th Pl N, Loxahatchee, FL 33470 Phone: 561-856-5815 |
Mrs. Maria Sepulveda, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470 Phone: 561-793-1713 |
Kristina Murphy, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12955 Palms West Dr Ste 200, Loxahatchee, FL 33470 Phone: 561-790-7744 |
Mrs. Rachael Lea Busch-feuer, FNP-BC,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12977 Southern Blvd Ste 200, Loxahatchee, FL 33470 Phone: 561-798-8184 Fax: 561-793-2588 |