| Mr Ivan A Mustafa, ARNP | |
|
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (352) 323-5762 | |
| Not Available |
| Full Name | Mr Ivan A Mustafa |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 600 E Dixie Ave, Leesburg, 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 |
|---|---|---|---|
| 1497727804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3098742 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wheatland Memorial Hospital | Harlowton, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Emergency Physicians Kang And Associates Md Llc | 0143113878 | 269 |
| Wheatland Memorial Healthcare | 3375451370 | 13 |
| Entity Name | Florida Emergency Physicians Kang And Associates Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan A Mustafa, ARNP 8490 Ne 150th Ave, Williston, FL 32696-3842 Ph: (407) 758-4104 | Mr Ivan A Mustafa, ARNP 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5762 |
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 |