| Muhammad Numaan Imam, | |
| 466 Woodford Dr, Debary, FL 32713-2145 | |
| (813) 580-0163 | |
| Not Available | 
| Full Name | Muhammad Numaan Imam | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 466 Woodford Dr, Debary, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407571391 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11029167 (Florida) | Primary | 
| 163W00000X | Registered Nurse | RN61318363 (Washington) | Secondary | 
| Entity Name | Caremed Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134774623 PECOS PAC ID: 0446589469 Enrollment ID: O20190916003605 | 
| Entity Name | Caremed Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548902984 PECOS PAC ID: 2567843782 Enrollment ID: O20220720000407 | 
| Entity Name | Imam Psychiatry | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114750338 PECOS PAC ID: 1557801289 Enrollment ID: O20240910000094 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Muhammad Numaan Imam, 466 Woodford Dr, Debary, FL 32713-2145 Ph: (813) 580-0163 | Muhammad Numaan Imam, 466 Woodford Dr, Debary, FL 32713-2145 Ph: (813) 580-0163 | 
| Jennifer Kaufmann, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Fox Ridge Ct Ste A, Debary, FL 32713 Phone: 386-668-6321 | |
| Elisa Davis, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 Bradwick Cir, Debary, FL 32713 Phone: 386-717-9121 | |
| Jessica Crystal Daigle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Spring Vista Dr, Ste 101, Debary, FL 32713 Phone: 386-668-8559 | |
| Carlos Enrique Contreras Benitez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 S Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-516-0930 Fax: 386-668-6897 | |
| Caitlyn Rhoades, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 S Charles Richard Beall Blvd, Debary, FL 32713 Phone: 207-299-7333 | |
| Elizabeth Louise Osborne, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8171 Allure Cir Apt 1713, Debary, FL 32713 Phone: 401-829-3877 |