| Mrs Tina Gail Gaskin, ARNP | |
|
1410 Lpga Blvd, Ste. 136, Daytona Beach, FL 32117-5115 | |
| (386) 274-4750 | |
| (386) 274-2499 |
| Full Name | Mrs Tina Gail Gaskin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1410 Lpga Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235463266 | NPI | - | NPPES |
| 0015594400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9211084 (Florida) | Primary |
| Entity Name | Shc Medical Partners Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861677064 PECOS PAC ID: 7618046517 Enrollment ID: O20080519000422 |
| Entity Name | Century Clinical Family Medicine, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710211289 PECOS PAC ID: 0042358996 Enrollment ID: O20091112000626 |
| Entity Name | Gold Diagnostics Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346824554 PECOS PAC ID: 2961802699 Enrollment ID: O20230113000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tina Gail Gaskin, ARNP 1410 Lpga Blvd, Ste. 136, Daytona Beach, FL 32117-5115 Ph: (386) 274-4750 | Mrs Tina Gail Gaskin, ARNP 1410 Lpga Blvd, Ste. 136, Daytona Beach, FL 32117-5115 Ph: (386) 274-4750 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Debra Dowell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Lyne E Homeus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Souad Omri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 |