| Rechelieu Luban Sudario, APRN | |
|
2233 Park Ave Ste 403&405, Orange Park, FL 32073-5570 | |
| (904) 688-3000 | |
| (904) 688-3001 |
| Full Name | Rechelieu Luban Sudario |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2233 Park Ave Ste 403&405, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649919697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11019872 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trenton Medical Center Inc | 2365359387 | 59 |
| Post Acute Medical, Pllc | 5193156115 | 141 |
| Entity Name | Trenton Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
| 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 | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20220708001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Rechelieu Luban Sudario, APRN 23343 Nw County Road 236, High Springs, FL 32643-9669 Ph: (386) 454-0698 | Rechelieu Luban Sudario, APRN 2233 Park Ave Ste 403&405, Orange Park, FL 32073-5570 Ph: (904) 688-3000 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |