| Seonghee Jeong, NURSE PRACTITIONER | |
| 171 Bradwick Cir, Debary, FL 32713-2125 | |
| (201) 681-3423 | |
| Not Available | 
| Full Name | Seonghee Jeong | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 171 Bradwick Cir, 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 | 
|---|---|---|---|
| 1699354183 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11012494 (Florida) | Primary | 
| Entity Name | Longevity Accountable Care, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801644711 PECOS PAC ID: 0840734034 Enrollment ID: O20240709003960 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Seonghee Jeong, NURSE PRACTITIONER 171 Bradwick Cir, Debary, FL 32713-2125 Ph: (201) 681-3423 | Seonghee Jeong, NURSE PRACTITIONER 171 Bradwick Cir, Debary, FL 32713-2125 Ph: (201) 681-3423 | 
| Jennifer Kaufmann, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Fox Ridge Ct Ste A, Debary, FL 32713 Phone: 386-668-6321 | |
| Muhammad Numaan Imam,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 466 Woodford Dr, Debary, FL 32713 Phone: 813-580-0163 | |
| 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 |