| 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 | 
|---|---|
| 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 | 
|---|---|
| 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  |