| Mrs Lisa Reshae Henderson, | |
|
814 N John Young Pkwy, Kissimmee, FL 34741-4912 | |
| (407) 816-0189 | |
| (407) 870-1579 |
| Full Name | Mrs Lisa Reshae Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 814 N John Young Pkwy, Kissimmee, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497999643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2962412 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carespot Of Orlando Hsi Urgent Care Llc | 8921372558 | 50 |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Reshae Henderson, 814 N John Young Pkwy, Kissimmee, FL 34741-4912 Ph: (407) 816-0189 | Mrs Lisa Reshae Henderson, 814 N John Young Pkwy, Kissimmee, FL 34741-4912 Ph: (407) 816-0189 |
Angelisse Marie Martinez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3230 Hillsdale Ln, Kissimmee, FL 34741 Phone: 407-785-1967 | |
Mr. Gabriel Josue Sustache Mercado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Pleasant Hill Rd, Kissimmee, FL 34746 Phone: 866-389-2727 | |
Colleen R Roblin, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-518-3626 Fax: 407-518-3164 | |
Deanna Marie Salguero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Melina Marina Gonzalez Perez, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Lily Ln, Kissimmee, FL 34759 Phone: 863-512-2141 | |
Wiledna L Alvarez Boneta, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Reef Club Dr, Kissimmee, FL 34741 Phone: 321-693-3603 | |
Robert Anthony Otero, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3098 Eagle Crossing Dr, Kissimmee, FL 34746 Phone: 407-201-2680 Fax: 407-201-2680 |