Tina Maree Agan, APRN, FNP-C | |
15366 Eastwood Trl, Brooksville, FL 34604-8184 | |
(727) 366-2144 | |
(352) 353-1168 |
Full Name | Tina Maree Agan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15366 Eastwood Trl, Brooksville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447513718 | NPI | - | NPPES |
009642500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9369198 (Florida) | Primary |
Entity Name | Liberty Mobile Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376228312 PECOS PAC ID: 9537517594 Enrollment ID: O20231130003763 |
Mailing Address | Practice Location Address |
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Tina Maree Agan, APRN, FNP-C 12470 Telecom Drive, Suite 300w, Temple Terrace, FL 33637-0904 Ph: () - | Tina Maree Agan, APRN, FNP-C 15366 Eastwood Trl, Brooksville, FL 34604-8184 Ph: (727) 366-2144 |
Anastasia Sophia Tzobanakis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10475 Flycatcher Rd, Brooksville, FL 34613 Phone: 352-263-1068 | |
Kristen Costa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Jacqueline Hemstreet, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12220 Cortez Blvd, Brooksville, FL 34613 Phone: 352-556-5216 | |
Latoya S Williams, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11371 Cortez Blvd Ste 210, Brooksville, FL 34613 Phone: 239-690-6906 | |
Mrs. Mackenzie Rose Rich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12190 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-1206 Fax: 352-597-1208 | |
Leslie Carol Flynt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14540 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-8287 | |
Ms. Donna Marie Ribbons, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12017 Cortez Blvd, Brooksville, FL 34613 Phone: 352-799-6700 Fax: 352-799-6722 |