| Raul Medina Rojo, MSN, APRN, PMHNP-BC | |
| 
					1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008  | |
| (813) 909-7102 | |
| Not Available | 
| Full Name | Raul Medina Rojo | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1539 Dale Mabry Hwy Ste 102, Lutz, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548986987 | NPI | - | NPPES | 
| APRN11022432 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11022432 (Florida) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022432 (Florida) | Primary | 
| Entity Name | Myrtle Ridge Primary Care Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619504354 PECOS PAC ID: 7618396144 Enrollment ID: O20201001001641  | 
| Entity Name | Truvida Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265104590 PECOS PAC ID: 9234522012 Enrollment ID: O20220201000390  | 
| Entity Name | Managed Mental Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033716055 PECOS PAC ID: 6800272394 Enrollment ID: O20230209002372  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Raul Medina Rojo, MSN, APRN, PMHNP-BC 9032 Sw 142nd Ave Apt 530, Miami, FL 33186-8024 Ph: () -  | Raul Medina Rojo, MSN, APRN, PMHNP-BC 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008 Ph: (813) 909-7102  | 
Cheryl Millheim,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2322 Land O Lakes Blvd, Lutz, FL 33549 Phone: 813-778-3149  | |
Angela Marie Bumpus, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15953 N Florida Ave, Lutz, FL 33549 Phone: 813-513-0808  | |
Rinat Rene Tamames, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19112 Sunlake Blvd, Lutz, FL 33558 Phone: 786-227-7641  | |
Ramon Aviso, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2814 Ridge Hollow Ln, Lutz, FL 33559 Phone: 813-638-7735  | |
Mrs. Jeanne Brannan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 Sparrow Ct, Lutz, FL 33558 Phone: 813-963-2086  | |
Mrs. Heather Merlo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18125 N Us Highway 41 Ste 201, Lutz, FL 33549 Phone: 813-388-9468  | |
Mrs. Judith Loney Trotman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18524 Avocet Dr, Lutz, FL 33558 Phone: 813-961-3589  |