Sophia Annemarie Khawly, NP | |
2210 Main St, Dunedin, FL 34698 | |
(727) 615-3133 | |
Not Available |
Full Name | Sophia Annemarie Khawly |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2210 Main St, Dunedin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144573056 | NPI | - | NPPES |
014578000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029313 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9323668 (Florida) | Primary |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
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Sophia Annemarie Khawly, NP 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (941) 357-7950 | Sophia Annemarie Khawly, NP 2210 Main St, Dunedin, FL 34698 Ph: (727) 615-3133 |
Paul Albert Donahue, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 Dogwood Ct, Dunedin, FL 34698 Phone: 856-723-4098 | |
Jacquelyn Gianni, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1105 Admiral Rd, Dunedin, FL 34698 Phone: 407-697-3850 | |
Mrs. Chelsea Nicole Walker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2128 Main St, Dunedin, FL 34698 Phone: 727-736-7733 Fax: 727-736-7740 | |
Kristina Lutz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1014 Chablis Ct, Dunedin, FL 34698 Phone: 610-428-8349 | |
Ms. Kathy Anne Corbo, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1064 Keene Rd, Dunedin, FL 34698 Phone: 727-733-9202 Fax: 727-733-9202 | |
Susan D Rivera, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Virginia St, Dunedin, FL 34698 Phone: 727-734-4000 Fax: 727-738-5037 |