| Ms Kathleen M Brady, ARNP | |
|
19 Old Kings Rd, Suite C 106, Palm Coast, FL 32137-8260 | |
| (386) 446-4540 | |
| (386) 447-7732 |
| Full Name | Ms Kathleen M Brady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 19 Old Kings Rd, Palm Coast, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568791630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9215677 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen M Brady, ARNP 19 Old Kings Rd, Suite C 106, Palm Coast, FL 32137-8260 Ph: (386) 446-4540 | Ms Kathleen M Brady, ARNP 19 Old Kings Rd, Suite C 106, Palm Coast, FL 32137-8260 Ph: (386) 446-4540 |
Traci Lee Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Cypress Point Pkwy Ste D102, Palm Coast, FL 32164 Phone: 386-230-4448 | |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 | |
Cynthia Michelle Baxter, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137 Phone: 386-232-8089 | |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 | |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 | |
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 | |
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720 |