| Princess J Lock, APRN | |
|
2711 N Orange Blossom Trl, Kissimmee, FL 34744-1373 | |
| (407) 380-0302 | |
| (407) 380-5127 |
| Full Name | Princess J Lock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 2711 N Orange Blossom Trl, Kissimmee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124516851 | NPI | - | NPPES |
| 101437000 | Medicaid | FL | |
| OP567 | Other | FL | MEDICARE HF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | APRN9237351 (Florida) | Primary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Princess J Lock, APRN 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (407) 222-4543 | Princess J Lock, APRN 2711 N Orange Blossom Trl, Kissimmee, FL 34744-1373 Ph: (407) 380-0302 |
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 |