Shannon D Marzouk, APRN | |
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
(352) 323-5762 | |
Not Available |
Full Name | Shannon D Marzouk |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 600 E Dixie Ave, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326755646 | NPI | - | NPPES |
VS005 | Other | FL | MEDICARE HF |
116210000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11021923 (Florida) | Primary |
Entity Name | Cogent Healthcare Of Pensacola Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346287182 PECOS PAC ID: 1153226766 Enrollment ID: O20031205000170 |
Entity Name | Central Florida Inpatient Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228859 PECOS PAC ID: 7911805254 Enrollment ID: O20031223000824 |
Entity Name | Inpatient Care Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679817134 PECOS PAC ID: 0345493623 Enrollment ID: O20130117000370 |
Entity Name | Rockledge Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538523295 PECOS PAC ID: 1254621048 Enrollment ID: O20160607001833 |
Mailing Address | Practice Location Address |
---|---|
Shannon D Marzouk, APRN 2535 Revolution St Unit 101, Melbourne, FL 32935-3920 Ph: (321) 591-8682 | Shannon D Marzouk, APRN 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5762 |
Lino Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E. Dixie Avenue, Lrmc Urgent Care, Leesburg, FL 34748 Phone: 352-323-2273 | |
Melissa Rodden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E North Blvd, Leesburg, FL 34748 Phone: 352-435-7938 Fax: 352-435-7938 | |
Mr. Jared Saint John, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-273-8610 | |
Debra A Guitz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270 | |
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Centcha Cimeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave Apt 201, Leesburg, FL 34748 Phone: 904-557-0505 |