| Rosanny Tavera, | |
|
1287 Woodline Dr, Deland, FL 32720-6554 | |
| (407) 637-4846 | |
| Not Available |
| Full Name | Rosanny Tavera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1287 Woodline Dr, Deland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104660703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9507718 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11031783 (Florida) | Primary |
| Entity Name | Medalliance Medical Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558356741 PECOS PAC ID: 4789633678 Enrollment ID: O20050118000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosanny Tavera, 1287 Woodline Dr, Deland, FL 32720-6554 Ph: (407) 637-4846 | Rosanny Tavera, 1287 Woodline Dr, Deland, FL 32720-6554 Ph: (407) 637-4846 |
Deborah Vega Darnell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 | |
Dr. Mary Theresa Izzo, PHD, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 | |
April Summerford Frahm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1590 S Sr 15a, Deland, FL 32720 Phone: 386-774-0016 | |
Lisa Cunningham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 685 Peachwood Dr, Deland, FL 32720 Phone: 386-736-3463 Fax: 386-736-3492 | |
Mrs. Rachel Ellen Hart, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 937 N Spring Garden Ave, Deland, FL 32720 Phone: 386-736-1948 Fax: 386-734-4571 | |
Debbie Hinson Fisher, ARNP-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 2nd Ave, 720 2nd Ave, Deland, FL 32724 Phone: 386-561-0383 | |
Ms. Carmelia Maria Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-734-1443 |