Stanley Dingbobga Fomban, APRN | |
2349 Indian Key Dr, Holiday, FL 34691-7812 | |
(727) 452-8897 | |
Not Available |
Full Name | Stanley Dingbobga Fomban |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2349 Indian Key Dr, Holiday, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639890908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11021138 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
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Stanley Dingbobga Fomban, APRN 2349 Indian Key Dr, Holiday, FL 34691-7812 Ph: (172) 745-2889 | Stanley Dingbobga Fomban, APRN 2349 Indian Key Dr, Holiday, FL 34691-7812 Ph: (727) 452-8897 |
Fredrieka Alicia Latoya Rose, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5304 Mile Stretch Dr, Holiday, FL 34690 Phone: 877-202-1191 | |
Erin Ann Adamski, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2254 Us Highway 19, Holiday, FL 34691 Phone: 727-943-7710 | |
Naightasha Curtis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2435 Us Highway 19, Holiday, FL 34691 Phone: 727-940-5908 | |
Pamela Mj Van De Cappelle, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 Croydon Ln, Holiday, FL 34691 Phone: 863-326-2964 | |
Mrs. Nancy J Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4642 Darlington Rd, Holiday, FL 34690 Phone: 727-938-2474 Fax: 727-934-1579 | |
George Nicholas Demellis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3020 Evensong Ct, Holiday, FL 34690 Phone: 727-710-3574 |