| Portia Williams, APRN | |
|
2225 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4575 | |
| (561) 633-0104 | |
| (888) 411-5724 |
| Full Name | Portia Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2225 Sw Newport Isles Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295344604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 9322322 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11010453 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deno Services Inc | 7618238726 | 4 |
| Patel Medical Consulting Llc | 9537414644 | 5 |
| Entity Name | Deno Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447764840 PECOS PAC ID: 7618238726 Enrollment ID: O20180307000487 |
| Entity Name | Patel Medical Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750887584 PECOS PAC ID: 9537414644 Enrollment ID: O20180613002173 |
| Entity Name | Portia F Boatwright Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811580996 PECOS PAC ID: 5698166130 Enrollment ID: O20211217000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Portia Williams, APRN 2225 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4575 Ph: (561) 633-0104 | Portia Williams, APRN 2225 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4575 Ph: (561) 633-0104 |
Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400 | |
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313 | |
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008 | |
Diana Isabel Clavijo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7549 Nw Greenspring St, Port St Lucie, FL 34987 Phone: 954-274-5691 | |
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161 | |
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 | |
Mrs. Tricia A Riddle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-871-5900 |