| Vidya Jaimungal, ARNP | |
|
2237 Lithia Center Ln, Valrico, FL 33596-5676 | |
| (813) 662-0123 | |
| (813) 662-9422 |
| Full Name | Vidya Jaimungal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2237 Lithia Center Ln, Valrico, 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 |
|---|---|---|---|
| 1821493891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9167965 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 866 |
| Entity Name | Florida Pain Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043204415 PECOS PAC ID: 1355323403 Enrollment ID: O20040603000261 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Entity Name | Marion Internal Medicine Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023491057 PECOS PAC ID: 0042527996 Enrollment ID: O20150910000160 |
| Entity Name | Magnolia Family Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588038749 PECOS PAC ID: 0941501449 Enrollment ID: O20151228001590 |
| Entity Name | Focus Healthcare Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396370318 PECOS PAC ID: 4183053754 Enrollment ID: O20200402000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidya Jaimungal, ARNP 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Vidya Jaimungal, ARNP 2237 Lithia Center Ln, Valrico, FL 33596-5676 Ph: (813) 662-0123 |
Cha Quanda Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2619 Shilo Ct, Valrico, FL 33596 Phone: 813-508-3197 | |
Christine Edwards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4320 Bell Shoals Rd, Valrico, FL 33596 Phone: 813-571-1111 | |
Jennifer Dawn Clyatt, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 260, Valrico, FL 33596 Phone: 813-725-7220 Fax: 813-725-7221 | |
Jordan Dorsey, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2721 Brianholly Dr, Valrico, FL 33596 Phone: 813-431-9147 | |
Lauren Cathryn Endick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Mason Oaks Dr, Valrico, FL 33596 Phone: 813-940-6046 Fax: 866-451-4607 | |
Brittney Poole Gurski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3444 Lithia Pinecrest Rd, Valrico, FL 33596 Phone: 813-643-9393 | |
Sharmila Lilland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3414 Pittwood Rd, Valrico, FL 33596 Phone: 813-810-7112 |