| Theresa Correa, ARNP | |
|
951 N Washington Ave Ste 100, Titusville, FL 32796-2163 | |
| (321) 268-6836 | |
| (321) 225-4786 |
| Full Name | Theresa Correa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 951 N Washington Ave Ste 100, Titusville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548717838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9254398 (Florida) | Primary |
| Entity Name | Space Coast Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144819319 PECOS PAC ID: 8224445531 Enrollment ID: O20210405001096 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Correa, ARNP 1093 Manigan Ave, Oviedo, FL 32765-6011 Ph: Not Available | Theresa Correa, ARNP 951 N Washington Ave Ste 100, Titusville, FL 32796-2163 Ph: (321) 268-6836 |
Nikolaos Koukos, ARNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Columbia Blvd Ste 108a, Titusville, FL 32780 Phone: 321-264-9176 |
Kylie Burket, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Cheney Hwy, Titusville, FL 32780 Phone: 321-567-4237 |
Rebecca J Human, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Knox Mcrae Dr, Titusville, FL 32780 Phone: 321-269-2028 Fax: 321-264-0730 |
Debra Allen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Dairy Rd, Titusville, FL 32796 Phone: 321-269-6530 Fax: 321-269-2334 |
Kylie Woodhouse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1785 Garden St, Titusville, FL 32796 Phone: 321-269-9612 Fax: 321-269-8433 |
Rebecca Fobes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Century Medical Dr, Titusville, FL 32796 Phone: 321-383-9393 Fax: 321-268-6237 |
Dawn Michele Hillebrandt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Harrison Street, Parrish Medical Group, Titusville, FL 32780 Phone: 321-268-6868 Fax: 321-267-2713 |