| Suada Muminovic, | |
|
533 W Twincourt Trl Ste And702, Saint Augustine, FL 32095-8884 | |
| (904) 990-0028 | |
| Not Available |
| Full Name | Suada Muminovic |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 533 W Twincourt Trl Ste And702, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487463501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11036245 (Florida) | Primary |
| Entity Name | Ackerman Cancer Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265111629 PECOS PAC ID: 3779541362 Enrollment ID: O20041229000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Suada Muminovic, 13826 Zion Gate Ct, Jacksonville, FL 32224-0283 Ph: (904) 514-1471 | Suada Muminovic, 533 W Twincourt Trl Ste And702, Saint Augustine, FL 32095-8884 Ph: (904) 990-0028 |
Lucie Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Chasewood Dr, Saint Augustine, FL 32095 Phone: 408-759-2838 | |
Samantha D Reynolds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, Saint Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023 | |
Ms. Katrina Shanell General, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Plaza Blvd Ste B5b6, Saint Augustine, FL 32086 Phone: 904-819-5150 Fax: 904-819-5152 | |
Angelique Willis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Ashbrook St, Saint Augustine, FL 32084 Phone: 904-599-9192 | |
Eli Billeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Moultrie Crossing Ln, Saint Augustine, FL 32086 Phone: 904-819-5155 | |
Stephanie Digirolamo, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Silver Glen Ave, Saint Augustine, FL 32092 Phone: 904-525-1302 | |
Bethany Ann Brown, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Whetstone Pl, Saint Augustine, FL 32086 Phone: 904-746-1095 |