| Shayne Lynne Mangalindan Malik, | |
|
9765 San Jose Blvd, Ste. 102, Jacksonville, FL 32257-4402 | |
| (904) 260-5757 | |
| (904) 268-0733 |
| Full Name | Shayne Lynne Mangalindan Malik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9765 San Jose Blvd, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073061214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN9372179 (Florida) | Primary |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | Vitae Health Medical Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayne Lynne Mangalindan Malik, 9765 San Jose Blvd, Ste. 102, Jacksonville, FL 32257-4402 Ph: (904) 260-5757 | Shayne Lynne Mangalindan Malik, 9765 San Jose Blvd, Ste. 102, Jacksonville, FL 32257-4402 Ph: (904) 260-5757 |
Ms. Clare Denise Benjamin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 |
Danielle Harper Pritchard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 |