| Tara Liske, APRN | |
|
109 W Wall St, Frostproof, FL 33843-2043 | |
| (866) 234-8534 | |
| Not Available |
| Full Name | Tara Liske |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 109 W Wall St, Frostproof, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316672975 | NPI | - | NPPES |
| 115868500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11020765 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Florida Health Care Inc | 0143127951 | 22 |
| Entity Name | Central Florida Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
| Entity Name | Tampa Family Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Liske, APRN 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Tara Liske, APRN 109 W Wall St, Frostproof, FL 33843-2043 Ph: (866) 234-8534 |
Jennifer Shaw, ARNP, FNP-C, RNC-OB Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 866-234-8534 | |
Amanda L Blitz, A.R.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 Fax: 863-635-7613 | |
Stephanie Lynn Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 | |
Teresa A Lyle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 Fax: 863-635-3545 |