| Adventhealth Centra Care | |
|
2600 Westhall Lane Maitland FL 32751 | |
| (407) 200-2300 | |
| (407) 200-1353 |
| Full Name | Adventhealth Centra Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Westhall Lane, Maitland, Florida |
| Authorized Official Name and Position | Matthew Brice (VP/CFO) |
| Authorized Official Contact | 4072002300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Centra Care 2600 Westhall Ln Ste 300 Maitland FL 32751-7107 Ph: (407) 200-2300 | Adventhealth Centra Care 2600 Westhall Lane Maitland FL 32751 Ph: (407) 200-2300 |
| NPI Number | 1073565610 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 07/28/2026 |
| Certification Date | 07/28/2026 |
| Medicare PECOS PAC ID | 6406849256 |
|---|---|
| Medicare Enrollment ID | O20040406001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073565610 | NPI | - | NPPES |
| 013961700 | Medicaid | FL |
| Provider Name | James E Patrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689663528 PECOS PAC ID: 2567368517 Enrollment ID: I20031210000392 |
| Provider Name | Bettye a Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558458729 PECOS PAC ID: 1052212727 Enrollment ID: I20040115000936 |
| Provider Name | Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144233685 PECOS PAC ID: 2466349105 Enrollment ID: I20040228000030 |
| Provider Name | Jeffrey H Belabin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528267010 PECOS PAC ID: 1456243203 Enrollment ID: I20040326000382 |
| Provider Name | Norman L Carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366467342 PECOS PAC ID: 7911990510 Enrollment ID: I20040407001692 |
| Provider Name | Nicholas Q Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245349364 PECOS PAC ID: 8921091430 Enrollment ID: I20040408000156 |
| Provider Name | Tara Ann a Bouzianis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811983570 PECOS PAC ID: 0244226215 Enrollment ID: I20040423000971 |
| Provider Name | Larry E Applebee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750317814 PECOS PAC ID: 5799773636 Enrollment ID: I20040501000002 |
| Provider Name | Linda M Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689685851 PECOS PAC ID: 5890784292 Enrollment ID: I20040511000379 |
| Provider Name | Franz G Ritucci Chinni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740210624 PECOS PAC ID: 8325038086 Enrollment ID: I20040514000395 |
| Provider Name | Nkemdilim J Uzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558322230 PECOS PAC ID: 5294725925 Enrollment ID: I20040514000857 |
| Provider Name | Joshua Kolanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821086745 PECOS PAC ID: 8224029608 Enrollment ID: I20040524000595 |
| Provider Name | Alberto Rios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003844515 PECOS PAC ID: 9234111790 Enrollment ID: I20040607001182 |
| Provider Name | Kelly K Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104811959 PECOS PAC ID: 9830175850 Enrollment ID: I20040629000560 |
| Provider Name | Douglas F Tight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376593509 PECOS PAC ID: 8921088535 Enrollment ID: I20040723000622 |
| Provider Name | Jose J De La Rocha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568509164 PECOS PAC ID: 2961462114 Enrollment ID: I20041013000266 |
| Provider Name | Felix Scott Fraustro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720033962 PECOS PAC ID: 0941261093 Enrollment ID: I20041021000735 |
| Provider Name | Stuart Brodkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134116999 PECOS PAC ID: 1355308065 Enrollment ID: I20041214001092 |
| Provider Name | William J Davison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699702498 PECOS PAC ID: 9739137431 Enrollment ID: I20050110000655 |
| Provider Name | Cheri M Jrolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649368556 PECOS PAC ID: 8820040884 Enrollment ID: I20050217000646 |
| Provider Name | Kathleen L Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013983865 PECOS PAC ID: 5496709586 Enrollment ID: I20050314000697 |
| Provider Name | Mary Josephine Cunningham Laube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699706010 PECOS PAC ID: 2769438738 Enrollment ID: I20050323000955 |
| Provider Name | Michael William Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043248263 PECOS PAC ID: 4880632041 Enrollment ID: I20050419001201 |
| Provider Name | Mark a Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063506681 PECOS PAC ID: 8426098567 Enrollment ID: I20050507000022 |
| Provider Name | Javalika G Raja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154362333 PECOS PAC ID: 1557302163 Enrollment ID: I20050513000221 |
| Provider Name | Harry F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063456663 PECOS PAC ID: 0345281606 Enrollment ID: I20050517000443 |
| Provider Name | Martina M Nimeth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922048875 PECOS PAC ID: 8820030737 Enrollment ID: I20050601000363 |
| Provider Name | Douglas J Re |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235174830 PECOS PAC ID: 6901849579 Enrollment ID: I20050604000047 |
| Provider Name | Stephen Joseph Signore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790737609 PECOS PAC ID: 5294761516 Enrollment ID: I20050708000600 |
| Provider Name | Gregory Ohlrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245375401 PECOS PAC ID: 8820013980 Enrollment ID: I20051008000039 |
| Provider Name | Robert J Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881692838 PECOS PAC ID: 9234155698 Enrollment ID: I20051015000030 |
| Provider Name | Melissa L Mcnally |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477521078 PECOS PAC ID: 3870526478 Enrollment ID: I20051026000519 |
| Provider Name | Pamela R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609848506 PECOS PAC ID: 5890712467 Enrollment ID: I20051102000351 |
| Provider Name | Shea a Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174543565 PECOS PAC ID: 0143242537 Enrollment ID: I20051229000149 |
| Provider Name | Amber P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881622389 PECOS PAC ID: 4183634546 Enrollment ID: I20060428000417 |
| Provider Name | Francesca Sessa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851327357 PECOS PAC ID: 9436162989 Enrollment ID: I20060728000286 |
| Provider Name | Mechele L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184676405 PECOS PAC ID: 7810996691 Enrollment ID: I20061205000101 |
| Provider Name | Carlos a Ramirez Blessing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093759219 PECOS PAC ID: 3072615202 Enrollment ID: I20070219000587 |
| Provider Name | Margaret R Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932165719 PECOS PAC ID: 9032213665 Enrollment ID: I20070409000364 |
| Provider Name | Sarah C Spelsberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689718967 PECOS PAC ID: 4183716418 Enrollment ID: I20070816000441 |
| Provider Name | Robert D Runk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093791584 PECOS PAC ID: 4789779497 Enrollment ID: I20070926000692 |
| Provider Name | Olivia N Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548474273 PECOS PAC ID: 5092801480 Enrollment ID: I20071017000089 |
| Provider Name | Thomas Paul Gambino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386756021 PECOS PAC ID: 5092802686 Enrollment ID: I20071029000666 |
| Provider Name | Randall E Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518947548 PECOS PAC ID: 4789772229 Enrollment ID: I20071115000645 |
| Provider Name | Craig Joseph Glaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407075633 PECOS PAC ID: 2860581550 Enrollment ID: I20071204000017 |
| Provider Name | James H Sellers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801961156 PECOS PAC ID: 7618055369 Enrollment ID: I20080421000289 |
| Provider Name | Elena M Ortiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396790523 PECOS PAC ID: 4183664022 Enrollment ID: I20080514000104 |
| Provider Name | Derek J Rachelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558439836 PECOS PAC ID: 4183793698 Enrollment ID: I20080522000585 |
| Provider Name | Rachel B Tallbacka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821022153 PECOS PAC ID: 7012087976 Enrollment ID: I20080604000075 |
| Provider Name | William E Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629077482 PECOS PAC ID: 5799857025 Enrollment ID: I20080702000271 |
| Provider Name | Jason R Swineford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295936300 PECOS PAC ID: 7911072475 Enrollment ID: I20080818000559 |
| Provider Name | John F Ferreira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952595407 PECOS PAC ID: 1557420346 Enrollment ID: I20081107000717 |
| Provider Name | Elizabeth Sheridan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669527404 PECOS PAC ID: 3375593734 Enrollment ID: I20081126000563 |
| Provider Name | Craig S Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447443411 PECOS PAC ID: 5597826479 Enrollment ID: I20081210000643 |
| Provider Name | John Manresa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831340538 PECOS PAC ID: 1850452590 Enrollment ID: I20081212000472 |
| Provider Name | Zhandra Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528217346 PECOS PAC ID: 9931264603 Enrollment ID: I20090212000139 |
| Provider Name | Janet F Mccabe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750538294 PECOS PAC ID: 3870658594 Enrollment ID: I20090212000623 |
| Provider Name | Glenn a Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811171408 PECOS PAC ID: 2163584939 Enrollment ID: I20090311000319 |
| Provider Name | Devin M Mone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871511881 PECOS PAC ID: 9931112232 Enrollment ID: I20090324000022 |
| Provider Name | Jonathan D Domico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326287657 PECOS PAC ID: 9638227150 Enrollment ID: I20090511000156 |
| Provider Name | Kristin Parchmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851424493 PECOS PAC ID: 9931259132 Enrollment ID: I20090610000054 |
| Provider Name | Michael Anthony Hawks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881896108 PECOS PAC ID: 9830243005 Enrollment ID: I20090822000025 |
| Provider Name | Kar Yee NG |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891941704 PECOS PAC ID: 3173681574 Enrollment ID: I20091016000404 |
| Provider Name | Louise M Forte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710192133 PECOS PAC ID: 9032259874 Enrollment ID: I20091229000595 |
| Provider Name | Andrea M Chaput |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083715668 PECOS PAC ID: 8527065994 Enrollment ID: I20100610000649 |
| Provider Name | Evelyn Frances Ogle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508179755 PECOS PAC ID: 2769516384 Enrollment ID: I20100818000987 |
| Provider Name | Timothy W Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851405401 PECOS PAC ID: 4789708587 Enrollment ID: I20100831000865 |
| Provider Name | Scott Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942232566 PECOS PAC ID: 5395714000 Enrollment ID: I20100910000789 |
| Provider Name | Babak Boroujerdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538149562 PECOS PAC ID: 7416072038 Enrollment ID: I20100920000057 |
| Provider Name | Eric M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396830535 PECOS PAC ID: 0042335515 Enrollment ID: I20100921000802 |
| Provider Name | Stanley B. Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609943174 PECOS PAC ID: 2567588619 Enrollment ID: I20100925000293 |
| Provider Name | Sandra Maidwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326217746 PECOS PAC ID: 4183701634 Enrollment ID: I20100925000339 |
| Provider Name | Barry F. Portnoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396768826 PECOS PAC ID: 2769674019 Enrollment ID: I20101005001311 |
| Provider Name | Jennifer E Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689894149 PECOS PAC ID: 2668565177 Enrollment ID: I20101008001119 |
| Provider Name | John P Feenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851323638 PECOS PAC ID: 2668664236 Enrollment ID: I20101014000696 |
| Provider Name | Joanne V Davson-sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861709610 PECOS PAC ID: 1850584814 Enrollment ID: I20101022000156 |
| Provider Name | Holly M Lindberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124055157 PECOS PAC ID: 1355534116 Enrollment ID: I20101025001006 |
| Provider Name | Shawn Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457346827 PECOS PAC ID: 3274590146 Enrollment ID: I20101028000321 |
| Provider Name | Krista R Gorman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922167550 PECOS PAC ID: 9436344157 Enrollment ID: I20101108001092 |
| Provider Name | Mark Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427076447 PECOS PAC ID: 0547455636 Enrollment ID: I20101115001096 |
| Provider Name | Vicki K Friend |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639167398 PECOS PAC ID: 6103014295 Enrollment ID: I20101215000980 |
| Provider Name | Jessica Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922301381 PECOS PAC ID: 1557559077 Enrollment ID: I20101228000990 |
| Provider Name | Bruce M Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548244700 PECOS PAC ID: 5496935512 Enrollment ID: I20110207000885 |
| Provider Name | Edgar III Snider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881795268 PECOS PAC ID: 7911188933 Enrollment ID: I20110224000286 |
| Provider Name | Frank E Karp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952345100 PECOS PAC ID: 1557311420 Enrollment ID: I20110302000551 |
| Provider Name | Frank Cortese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407188535 PECOS PAC ID: 0840477881 Enrollment ID: I20110531000600 |
| Provider Name | Kristen M Grider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083938120 PECOS PAC ID: 9931386430 Enrollment ID: I20110609000758 |
| Provider Name | Donna a Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902990146 PECOS PAC ID: 1355341082 Enrollment ID: I20110715000341 |
| Provider Name | Yasmin Yunus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639265804 PECOS PAC ID: 4688842628 Enrollment ID: I20110719000456 |
| Provider Name | Gregory D Hollis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114215290 PECOS PAC ID: 0749459949 Enrollment ID: I20110804000109 |
| Provider Name | Noel Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447560040 PECOS PAC ID: 8426227307 Enrollment ID: I20110810000325 |
| Provider Name | Kevin D Stapleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932206091 PECOS PAC ID: 5991978140 Enrollment ID: I20111103000071 |
| Provider Name | Timothy J Hirsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033430152 PECOS PAC ID: 2163698820 Enrollment ID: I20111229000531 |
| Provider Name | Brooke Chiodo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649547563 PECOS PAC ID: 3072789635 Enrollment ID: I20120103000206 |
| Provider Name | Jeanne Lufkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477849206 PECOS PAC ID: 2365609385 Enrollment ID: I20120202000732 |
| Provider Name | Amber L Barmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396015459 PECOS PAC ID: 7113185653 Enrollment ID: I20120229000806 |
| Provider Name | Houman Bolourian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124150396 PECOS PAC ID: 5991871600 Enrollment ID: I20120716000450 |
| Provider Name | Teri M Holmbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336438506 PECOS PAC ID: 3971759010 Enrollment ID: I20120806000847 |
| Provider Name | Luis D Soriano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629386396 PECOS PAC ID: 8123276136 Enrollment ID: I20120917000829 |
| Provider Name | Scott K Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740243385 PECOS PAC ID: 5092755793 Enrollment ID: I20121004000011 |
| Provider Name | Henya C Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366717035 PECOS PAC ID: 7315108370 Enrollment ID: I20121016000603 |
| Provider Name | Carol L Geddes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740417518 PECOS PAC ID: 2860642014 Enrollment ID: I20121024000109 |
| Provider Name | Sherri C Ricottone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699026948 PECOS PAC ID: 7012167877 Enrollment ID: I20121101000432 |
| Provider Name | Miriam C Carnemolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235465162 PECOS PAC ID: 8123279072 Enrollment ID: I20121127000288 |
| Provider Name | Ana L Castoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376707786 PECOS PAC ID: 7214073600 Enrollment ID: I20121219000116 |
| Provider Name | Mindy Sporn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245304310 PECOS PAC ID: 2668436312 Enrollment ID: I20130214000319 |
| Provider Name | Justin D Latino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518262039 PECOS PAC ID: 9931383965 Enrollment ID: I20130221000117 |
| Provider Name | Jessica Anne Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053658617 PECOS PAC ID: 5294980124 Enrollment ID: I20130227000023 |
| Provider Name | William T Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154677938 PECOS PAC ID: 4688810872 Enrollment ID: I20130412000400 |
| Provider Name | Tony Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689910036 PECOS PAC ID: 4981842937 Enrollment ID: I20130603000288 |
| Provider Name | Sridevi R Davalath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841519311 PECOS PAC ID: 0941498083 Enrollment ID: I20130624000448 |
| Provider Name | Janice Ellen Gallimore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336415256 PECOS PAC ID: 1254594039 Enrollment ID: I20130628000544 |
| Provider Name | Xenia N Barbato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770924797 PECOS PAC ID: 3577705557 Enrollment ID: I20130805000706 |
| Provider Name | Rachel M Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861951 PECOS PAC ID: 7113169566 Enrollment ID: I20130814000362 |
| Provider Name | Edward B Baldwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215907373 PECOS PAC ID: 7618032566 Enrollment ID: I20130905000649 |
| Provider Name | Tashan Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710249545 PECOS PAC ID: 8123262953 Enrollment ID: I20130918000326 |
| Provider Name | Jeremiah S Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942649934 PECOS PAC ID: 4183858327 Enrollment ID: I20131002000064 |
| Provider Name | Jaimie Plumey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639507262 PECOS PAC ID: 0244465193 Enrollment ID: I20131030000851 |
| Provider Name | Lindsey Mack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033453253 PECOS PAC ID: 0446403596 Enrollment ID: I20131111001400 |
| Provider Name | Shannon M Osorio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184857112 PECOS PAC ID: 4183850647 Enrollment ID: I20131112001009 |
| Provider Name | Paula C Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588005797 PECOS PAC ID: 0042446106 Enrollment ID: I20131119001084 |
| Provider Name | William Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693358 PECOS PAC ID: 4789810771 Enrollment ID: I20131121001467 |
| Provider Name | Christopher M Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164859237 PECOS PAC ID: 8426285214 Enrollment ID: I20131227000437 |
| Provider Name | Jennifer Lynn Walkinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994497 PECOS PAC ID: 5698903060 Enrollment ID: I20140109000835 |
| Provider Name | Lucinda Imhoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255359147 PECOS PAC ID: 8123256187 Enrollment ID: I20140121000626 |
| Provider Name | D-ann Marie Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124013362 PECOS PAC ID: 3476522962 Enrollment ID: I20140210001684 |
| Provider Name | Rebecca a Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780015552 PECOS PAC ID: 3072743798 Enrollment ID: I20140225001733 |
| Provider Name | Julius Anthony Abenina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205266434 PECOS PAC ID: 6608006622 Enrollment ID: I20140312002030 |
| Provider Name | Oyinkansola Adeogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245511500 PECOS PAC ID: 7113158122 Enrollment ID: I20140314001300 |
| Provider Name | Scott William Vanlue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174649412 PECOS PAC ID: 4385867985 Enrollment ID: I20140529001699 |
| Provider Name | Tyler Shelton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689097636 PECOS PAC ID: 5991929390 Enrollment ID: I20140604001468 |
| Provider Name | Ryan David Troup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821415951 PECOS PAC ID: 2365667565 Enrollment ID: I20140701002610 |
| Provider Name | Gregory Testa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578800348 PECOS PAC ID: 3779709290 Enrollment ID: I20140718001071 |
| Provider Name | Phrancesca Desauguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881826527 PECOS PAC ID: 4880812478 Enrollment ID: I20140822001604 |
| Provider Name | Laura N Gaskill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033262621 PECOS PAC ID: 2062515414 Enrollment ID: I20140922000032 |
| Provider Name | Bronwyn Tulloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356144 PECOS PAC ID: 9537389945 Enrollment ID: I20141007002591 |
| Provider Name | Debbie-ann P Anderson-delaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851493 PECOS PAC ID: 8921228255 Enrollment ID: I20141008000969 |
| Provider Name | Krysta-gaye Burchenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629485909 PECOS PAC ID: 9537380696 Enrollment ID: I20141015001149 |
| Provider Name | Tony L Hankerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770619009 PECOS PAC ID: 7113159682 Enrollment ID: I20141027002031 |
| Provider Name | Jodi L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826731 PECOS PAC ID: 4880916949 Enrollment ID: I20141201001791 |
| Provider Name | Tracy R Hauke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497859110 PECOS PAC ID: 7810948577 Enrollment ID: I20150127000339 |
| Provider Name | Roman Y Sereda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386042646 PECOS PAC ID: 9335464916 Enrollment ID: I20150203001441 |
| Provider Name | Barbara a Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891198206 PECOS PAC ID: 2668798026 Enrollment ID: I20150302000548 |
| Provider Name | Amara E Travers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205228681 PECOS PAC ID: 1557688660 Enrollment ID: I20150331000933 |
| Provider Name | Sloane Denton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538564315 PECOS PAC ID: 7012234933 Enrollment ID: I20150402000324 |
| Provider Name | Adam Caro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023414950 PECOS PAC ID: 9638496565 Enrollment ID: I20150402000406 |
| Provider Name | Ann M Efremoski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023300456 PECOS PAC ID: 3476872300 Enrollment ID: I20150427002523 |
| Provider Name | Eugene a Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225434517 PECOS PAC ID: 7012236987 Enrollment ID: I20150428001586 |
| Provider Name | Makeba J Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922436922 PECOS PAC ID: 3779802053 Enrollment ID: I20150507002739 |
| Provider Name | Maria M Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821311697 PECOS PAC ID: 9335468412 Enrollment ID: I20150512002304 |
| Provider Name | Sharron Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659631315 PECOS PAC ID: 4183935034 Enrollment ID: I20150618000803 |
| Provider Name | Andy M Campos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801286927 PECOS PAC ID: 5092026443 Enrollment ID: I20150625002001 |
| Provider Name | Olivia Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982084950 PECOS PAC ID: 9032422480 Enrollment ID: I20150714003201 |
| Provider Name | Maria a Posch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275913022 PECOS PAC ID: 8426361411 Enrollment ID: I20150720003142 |
| Provider Name | Jessica R Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275894743 PECOS PAC ID: 9830323393 Enrollment ID: I20150722005350 |
| Provider Name | Karen Marley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188833 PECOS PAC ID: 5597071092 Enrollment ID: I20150828001532 |
| Provider Name | Lawrence L Pedley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801239223 PECOS PAC ID: 3173752813 Enrollment ID: I20151002000513 |
| Provider Name | Lisa Habersbrunner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598837627 PECOS PAC ID: 8729087101 Enrollment ID: I20151009001302 |
| Provider Name | Farah Alli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528436649 PECOS PAC ID: 3072822758 Enrollment ID: I20151020001415 |
| Provider Name | Marilyn Chavannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972970374 PECOS PAC ID: 6507175700 Enrollment ID: I20151028001651 |
| Provider Name | William a Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275767469 PECOS PAC ID: 8022318369 Enrollment ID: I20151118001813 |
| Provider Name | Nwamaka Ilonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651272 PECOS PAC ID: 8921308297 Enrollment ID: I20151118003094 |
| Provider Name | Bang Chau Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841539954 PECOS PAC ID: 7416197256 Enrollment ID: I20151202001916 |
| Provider Name | Amanda Irene Main |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144699653 PECOS PAC ID: 9436459823 Enrollment ID: I20151208002012 |
| Provider Name | Mausam Chokshi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851766331 PECOS PAC ID: 0042511529 Enrollment ID: I20151229001760 |
| Provider Name | Jenny Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326416603 PECOS PAC ID: 1759683618 Enrollment ID: I20160108001551 |
| Provider Name | Avi S Betcherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962872598 PECOS PAC ID: 1557664166 Enrollment ID: I20160114001085 |
| Provider Name | Tuesday D Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076709 PECOS PAC ID: 2567765670 Enrollment ID: I20160125000545 |
| Provider Name | Michael G Dilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863037 PECOS PAC ID: 9931402906 Enrollment ID: I20160125002746 |
| Provider Name | Sally a Huey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205200623 PECOS PAC ID: 7012211618 Enrollment ID: I20160202000956 |
| Provider Name | Sreeja Nandakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740659440 PECOS PAC ID: 4789989419 Enrollment ID: I20160218000202 |
| Provider Name | Cintia H Hultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598122749 PECOS PAC ID: 4981908852 Enrollment ID: I20160406000913 |
| Provider Name | Sara Dunne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053671859 PECOS PAC ID: 1355597188 Enrollment ID: I20160411000152 |
| Provider Name | Joseph M Zoppi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831567437 PECOS PAC ID: 9739487687 Enrollment ID: I20160411001103 |
| Provider Name | Teresa Imperiale-westerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821147455 PECOS PAC ID: 3072535129 Enrollment ID: I20160415001227 |
| Provider Name | Mark Salvatore Ritchie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043306582 PECOS PAC ID: 6608972559 Enrollment ID: I20160517001855 |
| Provider Name | Mireya Castellon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588027791 PECOS PAC ID: 8224327093 Enrollment ID: I20160518000225 |
| Provider Name | William S Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065369 PECOS PAC ID: 6204156185 Enrollment ID: I20160719000263 |
| Provider Name | Yarelis Figueroa Matias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841644556 PECOS PAC ID: 3476846676 Enrollment ID: I20160726001636 |
| Provider Name | MD Saif Al Haque |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104256171 PECOS PAC ID: 2668767153 Enrollment ID: I20160823001506 |
| Provider Name | Robert P Garrigus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578910584 PECOS PAC ID: 3870889181 Enrollment ID: I20160913002491 |
| Provider Name | Holly S Slatinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912351040 PECOS PAC ID: 7911294699 Enrollment ID: I20160923000100 |
| Provider Name | Deborah L Messier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487001210 PECOS PAC ID: 4688952823 Enrollment ID: I20161024000648 |
| Provider Name | Cicely Jevon Kyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053657015 PECOS PAC ID: 2264685882 Enrollment ID: I20161024002304 |
| Provider Name | Elizabeth Ashley Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124575485 PECOS PAC ID: 5698054070 Enrollment ID: I20161108002146 |
| Provider Name | Cheryl S Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821771 PECOS PAC ID: 5698056950 Enrollment ID: I20161227002026 |
| Provider Name | Gilberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881084077 PECOS PAC ID: 4688971393 Enrollment ID: I20170105000463 |
| Provider Name | Ryan a Durfee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023338449 PECOS PAC ID: 3476798240 Enrollment ID: I20170118002879 |
| Provider Name | Katherine Platts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770313 PECOS PAC ID: 9032492103 Enrollment ID: I20170215001903 |
| Provider Name | Keith Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013074715 PECOS PAC ID: 8224262845 Enrollment ID: I20170216002818 |
| Provider Name | Erica Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386189603 PECOS PAC ID: 6608150511 Enrollment ID: I20170221000829 |
| Provider Name | Shari Lynn Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518319128 PECOS PAC ID: 3678858602 Enrollment ID: I20170314001058 |
| Provider Name | Jonathan Allan Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790236453 PECOS PAC ID: 4981989563 Enrollment ID: I20170322000679 |
| Provider Name | Radharani Woods Vizcaino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912452046 PECOS PAC ID: 9032494513 Enrollment ID: I20170324000081 |
| Provider Name | Heather Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104360015 PECOS PAC ID: 6800172792 Enrollment ID: I20170406002880 |
| Provider Name | Brent R Huffines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306093356 PECOS PAC ID: 2860556784 Enrollment ID: I20170410001345 |
| Provider Name | Maria Cherry G Coronel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538597786 PECOS PAC ID: 9537445010 Enrollment ID: I20170418000849 |
| Provider Name | Maria J Ortiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790236560 PECOS PAC ID: 8628354925 Enrollment ID: I20170422000186 |
| Provider Name | Grace Sumulong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891236543 PECOS PAC ID: 1951688548 Enrollment ID: I20170509001014 |
| Provider Name | Beenu Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851744072 PECOS PAC ID: 9133496763 Enrollment ID: I20170601001486 |
| Provider Name | Jeanine Nicole Jones-donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336687748 PECOS PAC ID: 4789952938 Enrollment ID: I20170613000987 |
| Provider Name | Justin S Skidmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073054862 PECOS PAC ID: 8224306360 Enrollment ID: I20170614001838 |
| Provider Name | Danielle Frink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407243553 PECOS PAC ID: 9335460997 Enrollment ID: I20170615000431 |
| Provider Name | Patricia J Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366782203 PECOS PAC ID: 2567609779 Enrollment ID: I20170616000901 |
| Provider Name | Pauline J Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861936296 PECOS PAC ID: 4688943145 Enrollment ID: I20170627002073 |
| Provider Name | Akilah D Tunsill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164974507 PECOS PAC ID: 7214206614 Enrollment ID: I20170628000949 |
| Provider Name | Paula Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063959203 PECOS PAC ID: 6103195409 Enrollment ID: I20170629001716 |
| Provider Name | Amber Then |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548714835 PECOS PAC ID: 8426338559 Enrollment ID: I20170705000476 |
| Provider Name | Shannon Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770005548 PECOS PAC ID: 2567732654 Enrollment ID: I20170722000009 |
| Provider Name | Ashley M Lefere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962891622 PECOS PAC ID: 8426376211 Enrollment ID: I20170727000164 |
| Provider Name | Hanna Patel-mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609234814 PECOS PAC ID: 1153628508 Enrollment ID: I20170807003649 |
| Provider Name | Madeline J Bach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306286224 PECOS PAC ID: 7517192842 Enrollment ID: I20170824000726 |
| Provider Name | Debra Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134366156 PECOS PAC ID: 0143545640 Enrollment ID: I20170825002382 |
| Provider Name | Stephen Desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285014712 PECOS PAC ID: 0446523856 Enrollment ID: I20170907000525 |
| Provider Name | Jessica R Taft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619332723 PECOS PAC ID: 9830462100 Enrollment ID: I20170907003191 |
| Provider Name | Robert J Pandolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053655712 PECOS PAC ID: 1951549666 Enrollment ID: I20170921001959 |
| Provider Name | Katherine P Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366965519 PECOS PAC ID: 5890060354 Enrollment ID: I20171009003296 |
| Provider Name | Juan Jose Montoya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346771995 PECOS PAC ID: 8527334168 Enrollment ID: I20171025002853 |
| Provider Name | Josmary Levy Obando |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730618877 PECOS PAC ID: 8123385564 Enrollment ID: I20171120002576 |
| Provider Name | Zineb El Bougrini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508377011 PECOS PAC ID: 6800155540 Enrollment ID: I20180125001867 |
| Provider Name | Kelly Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871009712 PECOS PAC ID: 2860752482 Enrollment ID: I20180130002235 |
| Provider Name | Klaireece Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489590 PECOS PAC ID: 6305106733 Enrollment ID: I20180215001814 |
| Provider Name | Charis Juanita Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023520442 PECOS PAC ID: 5890056485 Enrollment ID: I20180222000368 |
| Provider Name | Carrie Jo Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093815151 PECOS PAC ID: 8426294828 Enrollment ID: I20180305002294 |
| Provider Name | Marc Richard Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467975821 PECOS PAC ID: 2466714217 Enrollment ID: I20180315000840 |
| Provider Name | Paige Katherine Barnini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710486741 PECOS PAC ID: 9830451194 Enrollment ID: I20180326001549 |
| Provider Name | Holly N Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003327016 PECOS PAC ID: 5698038511 Enrollment ID: I20180406000295 |
| Provider Name | Diane G Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275072142 PECOS PAC ID: 2365705142 Enrollment ID: I20180409000460 |
| Provider Name | Vivienne Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146656 PECOS PAC ID: 1951664788 Enrollment ID: I20180409002690 |
| Provider Name | Julie Bearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609013531 PECOS PAC ID: 9638228026 Enrollment ID: I20180416000099 |
| Provider Name | Kelly Omalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639587702 PECOS PAC ID: 9537381256 Enrollment ID: I20180420000031 |
| Provider Name | Angela Pachla Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482001 PECOS PAC ID: 4183988124 Enrollment ID: I20180430000017 |
| Provider Name | Michael Lawrence Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851800874 PECOS PAC ID: 7214291277 Enrollment ID: I20180430000773 |
| Provider Name | Chaturi S Fernando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457623951 PECOS PAC ID: 7315105947 Enrollment ID: I20180501001234 |
| Provider Name | Akhil Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796284 PECOS PAC ID: 5193016343 Enrollment ID: I20180511001289 |
| Provider Name | Eldon Hugh Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665336 PECOS PAC ID: 4587919840 Enrollment ID: I20180611001037 |
| Provider Name | Laura Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790287316 PECOS PAC ID: 9638425184 Enrollment ID: I20180717003510 |
| Provider Name | Gemma M Villapando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659884534 PECOS PAC ID: 7719235738 Enrollment ID: I20180808002047 |
| Provider Name | Lakeshia Necole Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568914232 PECOS PAC ID: 5597013300 Enrollment ID: I20180809004617 |
| Provider Name | Kristina D Mccolgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083197420 PECOS PAC ID: 6204189954 Enrollment ID: I20181025001648 |
| Provider Name | Roberto Baldassarre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730673062 PECOS PAC ID: 4587917208 Enrollment ID: I20181026001182 |
| Provider Name | Diego Heraud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538505060 PECOS PAC ID: 4284867128 Enrollment ID: I20181106002455 |
| Provider Name | Patricia Jean Pamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313469 PECOS PAC ID: 7113278276 Enrollment ID: I20181109002289 |
| Provider Name | Karen B Wiedenbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952895393 PECOS PAC ID: 5496009458 Enrollment ID: I20181112001008 |
| Provider Name | Alexandra Y Rigaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866857 PECOS PAC ID: 9739433525 Enrollment ID: I20181114001153 |
| Provider Name | Lindsey L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962994046 PECOS PAC ID: 0547514333 Enrollment ID: I20181114001187 |
| Provider Name | Robert Bostic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093750093 PECOS PAC ID: 5193850089 Enrollment ID: I20181119001949 |
| Provider Name | Arsheema Abdurahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745060 PECOS PAC ID: 3173868973 Enrollment ID: I20181226001321 |
| Provider Name | Mckenna Duquette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295204352 PECOS PAC ID: 1759626419 Enrollment ID: I20181227001409 |
| Provider Name | Cam T Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407101884 PECOS PAC ID: 6608026026 Enrollment ID: I20181228000450 |
| Provider Name | Sydnee a Prince Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487139077 PECOS PAC ID: 6305181900 Enrollment ID: I20190102000628 |
| Provider Name | Shekinah Joy Barfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891261160 PECOS PAC ID: 7719223213 Enrollment ID: I20190103001841 |
| Provider Name | Mary Louise Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639654122 PECOS PAC ID: 1759627177 Enrollment ID: I20190107000693 |
| Provider Name | Matthew Ryan Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150367 PECOS PAC ID: 7315994407 Enrollment ID: I20190110000190 |
| Provider Name | Meagan Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891261863 PECOS PAC ID: 6103163787 Enrollment ID: I20190122001332 |
| Provider Name | Leah Marie Blizard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518449669 PECOS PAC ID: 7719224757 Enrollment ID: I20190129001007 |
| Provider Name | Alexandrea M Weeks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437629490 PECOS PAC ID: 8820335664 Enrollment ID: I20190131002630 |
| Provider Name | Lonnie Samantha-gaither Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063780 PECOS PAC ID: 1052672136 Enrollment ID: I20190206003091 |
| Provider Name | David Russell Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169555 PECOS PAC ID: 7517205883 Enrollment ID: I20190212000700 |
| Provider Name | Melissa Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540075 PECOS PAC ID: 2668710930 Enrollment ID: I20190212000894 |
| Provider Name | Caitlin O'kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508338104 PECOS PAC ID: 3173861085 Enrollment ID: I20190218002584 |
| Provider Name | Daniel Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558836668 PECOS PAC ID: 8022356922 Enrollment ID: I20190220000289 |
| Provider Name | Jessica O Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222160 PECOS PAC ID: 3971842709 Enrollment ID: I20190222000297 |
| Provider Name | Jacqueline F Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952875296 PECOS PAC ID: 3678812401 Enrollment ID: I20190222000381 |
| Provider Name | Joe P South |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982168118 PECOS PAC ID: 8426397621 Enrollment ID: I20190306001468 |
| Provider Name | Michelle N Pozsonyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366984 PECOS PAC ID: 7517207707 Enrollment ID: I20190326002170 |
| Provider Name | James Evan Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396256616 PECOS PAC ID: 3375803455 Enrollment ID: I20190329000039 |
| Provider Name | Tamara Latoya Coleburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609334531 PECOS PAC ID: 8628318615 Enrollment ID: I20190329001890 |
| Provider Name | Princess Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664451 PECOS PAC ID: 0941542732 Enrollment ID: I20190426000833 |
| Provider Name | Samantha D Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093196800 PECOS PAC ID: 6305188830 Enrollment ID: I20190501003195 |
| Provider Name | Anitta Janosh Purackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326545047 PECOS PAC ID: 0840532057 Enrollment ID: I20190508000965 |
| Provider Name | Kyle Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346710472 PECOS PAC ID: 8729321609 Enrollment ID: I20190516000226 |
| Provider Name | Chelsea J Liles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467963629 PECOS PAC ID: 3375803935 Enrollment ID: I20190530001701 |
| Provider Name | Laura Cordoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255995858 PECOS PAC ID: 8527301811 Enrollment ID: I20190530002003 |
| Provider Name | Andre M Daley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376106443 PECOS PAC ID: 7113250168 Enrollment ID: I20190606002765 |
| Provider Name | Shinumol Sabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425131 PECOS PAC ID: 8628301280 Enrollment ID: I20190613000946 |
| Provider Name | Ryan Littell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891358636 PECOS PAC ID: 5799010906 Enrollment ID: I20190710002926 |
| Provider Name | Matthew D Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710449657 PECOS PAC ID: 4486996667 Enrollment ID: I20190717002438 |
| Provider Name | Beverly Texidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696386 PECOS PAC ID: 0749516706 Enrollment ID: I20190729002063 |
| Provider Name | Wesley Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225483803 PECOS PAC ID: 3779810478 Enrollment ID: I20190802001707 |
| Provider Name | Maria Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518424514 PECOS PAC ID: 7214264308 Enrollment ID: I20190813000381 |
| Provider Name | Victoria R Correll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689148306 PECOS PAC ID: 5991033029 Enrollment ID: I20190827001991 |
| Provider Name | Dora Catherine Ottati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295299154 PECOS PAC ID: 8527397116 Enrollment ID: I20190906001890 |
| Provider Name | Dylan Christopher Papa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396216529 PECOS PAC ID: 1153651690 Enrollment ID: I20190925002146 |
| Provider Name | Michael R Hoard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710541065 PECOS PAC ID: 4385974690 Enrollment ID: I20191001000170 |
| Provider Name | Maxine Pittaway Bosko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033565023 PECOS PAC ID: 0840579496 Enrollment ID: I20191004001073 |
| Provider Name | Jill M Huntzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686534 PECOS PAC ID: 8729357108 Enrollment ID: I20191010002628 |
| Provider Name | Kimberly Joy Ertel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489457 PECOS PAC ID: 0446581797 Enrollment ID: I20191017001008 |
| Provider Name | Alisha Ottati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568927200 PECOS PAC ID: 8224369483 Enrollment ID: I20191018002719 |
| Provider Name | Stefan T Hartmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861966020 PECOS PAC ID: 8022340074 Enrollment ID: I20191024002286 |
| Provider Name | Surujdai Pooransingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457822066 PECOS PAC ID: 7911239744 Enrollment ID: I20191029001408 |
| Provider Name | Joshua Wayne Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790336931 PECOS PAC ID: 7113259888 Enrollment ID: I20191030000073 |
| Provider Name | Alethea Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588217863 PECOS PAC ID: 0648502369 Enrollment ID: I20191030002064 |
| Provider Name | Vickie L Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306114483 PECOS PAC ID: 7911146667 Enrollment ID: I20191031000901 |
| Provider Name | Melissa Molina Madrid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093366486 PECOS PAC ID: 5799117982 Enrollment ID: I20191108000582 |
| Provider Name | Michael E Monteagut |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104477116 PECOS PAC ID: 5991137440 Enrollment ID: I20191121001158 |
| Provider Name | Marie Sonite Alsaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962061788 PECOS PAC ID: 6103259460 Enrollment ID: I20191127002465 |
| Provider Name | Brianna M Janssen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760901292 PECOS PAC ID: 8628401247 Enrollment ID: I20191211002588 |
| Provider Name | Bealie Grace Castor Dib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790329100 PECOS PAC ID: 9830523331 Enrollment ID: I20191216001526 |
| Provider Name | Levy Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013154863 PECOS PAC ID: 9234435207 Enrollment ID: I20200110000489 |
| Provider Name | Jeffrey L Bevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700992898 PECOS PAC ID: 1951300136 Enrollment ID: I20200117001891 |
| Provider Name | Jamie R Ashcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770131351 PECOS PAC ID: 7719312602 Enrollment ID: I20200123000995 |
| Provider Name | Anne Esther Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083188445 PECOS PAC ID: 2466889142 Enrollment ID: I20200218002060 |
| Provider Name | Emily Marie Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487056842 PECOS PAC ID: 5294162863 Enrollment ID: I20200219002885 |
| Provider Name | June Steinvorth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003849019 PECOS PAC ID: 0244252955 Enrollment ID: I20200220002595 |
| Provider Name | Brent R Wilkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003449117 PECOS PAC ID: 3779910898 Enrollment ID: I20200228002127 |
| Provider Name | Thomas William Milbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411362 PECOS PAC ID: 8022445923 Enrollment ID: I20200304002515 |
| Provider Name | Tiffany Dawn Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033741970 PECOS PAC ID: 2961830849 Enrollment ID: I20200309001376 |
| Provider Name | Emma J Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811403850 PECOS PAC ID: 8224399910 Enrollment ID: I20200319001402 |
| Provider Name | Michel Granados-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740754720 PECOS PAC ID: 6901235001 Enrollment ID: I20200409003516 |
| Provider Name | Kerri Al Quinones Lumsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871125278 PECOS PAC ID: 2769812106 Enrollment ID: I20200425000162 |
| Provider Name | David W Heidelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049755 PECOS PAC ID: 4183879323 Enrollment ID: I20200601001816 |
| Provider Name | Theava Ismarella Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568001774 PECOS PAC ID: 9234550617 Enrollment ID: I20200611000750 |
| Provider Name | Christy L Joubert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164609061 PECOS PAC ID: 2860561396 Enrollment ID: I20200612001997 |
| Provider Name | Rohinie Hereman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598307548 PECOS PAC ID: 3072935311 Enrollment ID: I20200616000049 |
| Provider Name | Lindsay Taylor Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659900181 PECOS PAC ID: 2163846569 Enrollment ID: I20200717002128 |
| Provider Name | Jeffrey Todd Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043612054 PECOS PAC ID: 6608198908 Enrollment ID: I20200723000920 |
| Provider Name | Adam Sparkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909420 PECOS PAC ID: 6901221308 Enrollment ID: I20200803000039 |
| Provider Name | Rizwana Hawkeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962971044 PECOS PAC ID: 8022434380 Enrollment ID: I20200817003475 |
| Provider Name | Paige Shannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689045601 PECOS PAC ID: 2264732239 Enrollment ID: I20200821002175 |
| Provider Name | Kaitlyn J Humfeld |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255809745 PECOS PAC ID: 3476979329 Enrollment ID: I20200821002240 |
| Provider Name | Katrina D Black |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801194972 PECOS PAC ID: 7416130331 Enrollment ID: I20200824002579 |
| Provider Name | Osmani Placencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982185 PECOS PAC ID: 0345324323 Enrollment ID: I20200825002298 |
| Provider Name | Williamson Jean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083278782 PECOS PAC ID: 1052738879 Enrollment ID: I20200825002615 |
| Provider Name | Sybille M Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154700086 PECOS PAC ID: 9133433766 Enrollment ID: I20200901001441 |
| Provider Name | Xavier F Varela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336447689 PECOS PAC ID: 9335460534 Enrollment ID: I20200910000602 |
| Provider Name | Charmaine G Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114461902 PECOS PAC ID: 0648521039 Enrollment ID: I20200929000490 |
| Provider Name | Kelly Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669032025 PECOS PAC ID: 1456770205 Enrollment ID: I20200929001907 |
| Provider Name | T Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033681655 PECOS PAC ID: 2466789854 Enrollment ID: I20201012002887 |
| Provider Name | Nykia-george a Bryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477178747 PECOS PAC ID: 6406266063 Enrollment ID: I20201110002370 |
| Provider Name | Faith Select Zolfaghari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269017 PECOS PAC ID: 4587074919 Enrollment ID: I20201113000576 |
| Provider Name | Wesley Dean Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054611 PECOS PAC ID: 7315358322 Enrollment ID: I20201124000359 |
| Provider Name | Kathleen Jones Garnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528515681 PECOS PAC ID: 6901187913 Enrollment ID: I20201125000438 |
| Provider Name | Jeannette R Derita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528666575 PECOS PAC ID: 2668883414 Enrollment ID: I20201130001201 |
| Provider Name | Michelle Suriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891397998 PECOS PAC ID: 7810309556 Enrollment ID: I20201222000382 |
| Provider Name | Asahel Romero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881295525 PECOS PAC ID: 5193138188 Enrollment ID: I20210112002638 |
| Provider Name | Kumarie Davie Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730786468 PECOS PAC ID: 4183037914 Enrollment ID: I20210115000040 |
| Provider Name | Jose a Idone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487112181 PECOS PAC ID: 1355755679 Enrollment ID: I20210128000875 |
| Provider Name | Kayla M Kolanko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003405077 PECOS PAC ID: 4284048521 Enrollment ID: I20210128001616 |
| Provider Name | Rhonda Lee Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578815080 PECOS PAC ID: 1052617727 Enrollment ID: I20210201001404 |
| Provider Name | Christine M Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710540125 PECOS PAC ID: 5193131944 Enrollment ID: I20210303000953 |
| Provider Name | Julio C Hernandez Roman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801252895 PECOS PAC ID: 6709180532 Enrollment ID: I20210310002027 |
| Provider Name | Atif K Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184981789 PECOS PAC ID: 6800167107 Enrollment ID: I20210311000958 |
| Provider Name | Jared Christopher Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205469491 PECOS PAC ID: 1456767417 Enrollment ID: I20210317001256 |
| Provider Name | Laura Loutfi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972125631 PECOS PAC ID: 9436566809 Enrollment ID: I20210331001685 |
| Provider Name | Taylor Marie Willbur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548854854 PECOS PAC ID: 1850708264 Enrollment ID: I20210401000212 |
| Provider Name | Nicole Marie Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902401557 PECOS PAC ID: 3870901978 Enrollment ID: I20210408002011 |
| Provider Name | Kristen G Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891271 PECOS PAC ID: 3476961632 Enrollment ID: I20210428000983 |
| Provider Name | Keiana Skinner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447895370 PECOS PAC ID: 1850713348 Enrollment ID: I20210430000781 |
| Provider Name | Collin Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487269957 PECOS PAC ID: 7315346483 Enrollment ID: I20210521000213 |
| Provider Name | Marc a Thernelus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225611130 PECOS PAC ID: 4183025448 Enrollment ID: I20210624002524 |
| Provider Name | Ermite Caris-barlatier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083185169 PECOS PAC ID: 8527469485 Enrollment ID: I20210629002631 |
| Provider Name | Jeffrey D Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437523099 PECOS PAC ID: 9830494327 Enrollment ID: I20210716000701 |
| Provider Name | Tiffany M Moglia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265721245 PECOS PAC ID: 1557519816 Enrollment ID: I20210721003767 |
| Provider Name | Jesika Meghan Florin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124639539 PECOS PAC ID: 1850705484 Enrollment ID: I20210819001917 |
| Provider Name | Hae K Jeung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326679093 PECOS PAC ID: 3870907934 Enrollment ID: I20210819002322 |
| Provider Name | Marc B Stearman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467996785 PECOS PAC ID: 4183614449 Enrollment ID: I20210823002286 |
| Provider Name | Teresa Babbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379012 PECOS PAC ID: 1850796814 Enrollment ID: I20210830001047 |
| Provider Name | Hillary Elizabeth Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558037820 PECOS PAC ID: 3971909714 Enrollment ID: I20210902002340 |
| Provider Name | Sydney N Rodski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518508985 PECOS PAC ID: 2668889411 Enrollment ID: I20210908002769 |
| Provider Name | Andy Araujo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265801310 PECOS PAC ID: 0941500060 Enrollment ID: I20210909003843 |
| Provider Name | Olivia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508539099 PECOS PAC ID: 4082010137 Enrollment ID: I20210915000931 |
| Provider Name | Mary Elizabeth Hafele-kott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225603038 PECOS PAC ID: 2860899978 Enrollment ID: I20210916000158 |
| Provider Name | Janadra Greenidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233526 PECOS PAC ID: 3072910900 Enrollment ID: I20210921000125 |
| Provider Name | Loren E Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972277622 PECOS PAC ID: 4385041052 Enrollment ID: I20210922002565 |
| Provider Name | Casey Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591726 PECOS PAC ID: 0941607394 Enrollment ID: I20210928000570 |
| Provider Name | Marcello Alevato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045373 PECOS PAC ID: 5597162883 Enrollment ID: I20210929002613 |
| Provider Name | Elizabeth Matey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436957 PECOS PAC ID: 6901294651 Enrollment ID: I20211028002276 |
| Provider Name | Ruth Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007579 PECOS PAC ID: 6305235029 Enrollment ID: I20211117002424 |
| Provider Name | Sara L Belz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184388647 PECOS PAC ID: 2860882362 Enrollment ID: I20211123002483 |
| Provider Name | Porscha Shantell Kimbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780014 PECOS PAC ID: 1951791649 Enrollment ID: I20211213001472 |
| Provider Name | Paige M Conroy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427720952 PECOS PAC ID: 7911398300 Enrollment ID: I20211218000021 |
| Provider Name | Donald H Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194765321 PECOS PAC ID: 0840186615 Enrollment ID: I20211220002731 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841959343 PECOS PAC ID: 9638561848 Enrollment ID: I20220120002367 |
| Provider Name | Debra Lynn Eiermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199240 PECOS PAC ID: 0042602161 Enrollment ID: I20220124001519 |
| Provider Name | Sapana Dahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457012031 PECOS PAC ID: 7214329291 Enrollment ID: I20220125001633 |
| Provider Name | Lindsey Nicole Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789797 PECOS PAC ID: 9032501960 Enrollment ID: I20220126001289 |
| Provider Name | Monica a Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818747 PECOS PAC ID: 3779976568 Enrollment ID: I20220129000014 |
| Provider Name | Blair Heinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366609604 PECOS PAC ID: 0042480717 Enrollment ID: I20220207002573 |
| Provider Name | Francesca N Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112868 PECOS PAC ID: 6507259736 Enrollment ID: I20220210000296 |
| Provider Name | Jennifer R Helsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932602406 PECOS PAC ID: 3072907898 Enrollment ID: I20220221002315 |
| Provider Name | Tuyen N Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053063123 PECOS PAC ID: 1759775109 Enrollment ID: I20220228002601 |
| Provider Name | Kira Elana Peterman-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852593 PECOS PAC ID: 9537554555 Enrollment ID: I20220309002165 |
| Provider Name | Robert Hehre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194186510 PECOS PAC ID: 8123325701 Enrollment ID: I20220323001334 |
| Provider Name | Lindsey T Thilmony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831847888 PECOS PAC ID: 0345636874 Enrollment ID: I20220408000397 |
| Provider Name | Clyde William Renfroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275288060 PECOS PAC ID: 0840687471 Enrollment ID: I20220428001005 |
| Provider Name | Matthew Fintan Herreran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942941281 PECOS PAC ID: 7810384492 Enrollment ID: I20220429000044 |
| Provider Name | Chrystal Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567514 PECOS PAC ID: 4183002363 Enrollment ID: I20220531000562 |
| Provider Name | Sarybeth Rodriguez Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588305858 PECOS PAC ID: 4587043708 Enrollment ID: I20220617002554 |
| Provider Name | Sean Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598200438 PECOS PAC ID: 7719261965 Enrollment ID: I20220715001984 |
| Provider Name | Diane W Boicourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089112 PECOS PAC ID: 1951782333 Enrollment ID: I20220715002246 |
| Provider Name | Tiffany R Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720612146 PECOS PAC ID: 3173904406 Enrollment ID: I20220719000514 |
| Provider Name | Gladys Peguero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689317893 PECOS PAC ID: 7517349152 Enrollment ID: I20220729001028 |
| Provider Name | Patrick J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801207238 PECOS PAC ID: 2860613304 Enrollment ID: I20220812002140 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20220830000398 |
| Provider Name | Kyle Dore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154617009 PECOS PAC ID: 4082882568 Enrollment ID: I20220901002075 |
| Provider Name | Bebe Z Rahamatalli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306094511 PECOS PAC ID: 2769549229 Enrollment ID: I20220913000718 |
| Provider Name | Jesus John Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780269928 PECOS PAC ID: 3577948330 Enrollment ID: I20220914001652 |
| Provider Name | Jessica L Henriquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164141149 PECOS PAC ID: 5395121479 Enrollment ID: I20220927001068 |
| Provider Name | Jennifer Gayle Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054847 PECOS PAC ID: 4284010109 Enrollment ID: I20220929003748 |
| Provider Name | Jason D Carrazana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417670951 PECOS PAC ID: 6305222787 Enrollment ID: I20221008000493 |
| Provider Name | Miranda Saint-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922484898 PECOS PAC ID: 2365731676 Enrollment ID: I20221026002276 |
| Provider Name | Mena Aziz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265158695 PECOS PAC ID: 7517334675 Enrollment ID: I20221101003456 |
| Provider Name | Jodea a Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407579139 PECOS PAC ID: 3971970724 Enrollment ID: I20221108000178 |
| Provider Name | Richard C Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285355073 PECOS PAC ID: 6608243373 Enrollment ID: I20221109002033 |
| Provider Name | Margaret Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679168561 PECOS PAC ID: 9234534975 Enrollment ID: I20221130001131 |
| Provider Name | Tamika Alena Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023743929 PECOS PAC ID: 7315316510 Enrollment ID: I20221209002783 |
| Provider Name | Preeja Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558093815 PECOS PAC ID: 1658741590 Enrollment ID: I20230110001657 |
| Provider Name | Joy Prinsell Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050777 PECOS PAC ID: 7416328927 Enrollment ID: I20230120000463 |
| Provider Name | Shea Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487367785 PECOS PAC ID: 7012388499 Enrollment ID: I20230123000502 |
| Provider Name | Kristin Nichole Darby-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083376453 PECOS PAC ID: 1153793658 Enrollment ID: I20230209002147 |
| Provider Name | Olivia R Carbone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992418941 PECOS PAC ID: 5991178717 Enrollment ID: I20230227000829 |
| Provider Name | Kishma N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811286123 PECOS PAC ID: 5395086284 Enrollment ID: I20230227001151 |
| Provider Name | Jennifer M Ensor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952009714 PECOS PAC ID: 0244604361 Enrollment ID: I20230313001175 |
| Provider Name | Cindy Lanza-cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265178537 PECOS PAC ID: 8224402755 Enrollment ID: I20230323000364 |
| Provider Name | Kylie S Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851062764 PECOS PAC ID: 4284009440 Enrollment ID: I20230331002235 |
| Provider Name | Maria Decastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861849085 PECOS PAC ID: 6709295512 Enrollment ID: I20230420000707 |
| Provider Name | Inemesit G Udo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114229051 PECOS PAC ID: 0941483887 Enrollment ID: I20230428000631 |
| Provider Name | Morgan N Cyrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053026047 PECOS PAC ID: 2365807112 Enrollment ID: I20230428002834 |
| Provider Name | Amba Devi Motilal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275234353 PECOS PAC ID: 8628433430 Enrollment ID: I20230501002199 |
| Provider Name | Yariminette Delgado Olivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871875351 PECOS PAC ID: 7012226343 Enrollment ID: I20230503003384 |
| Provider Name | Kimberly Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518677640 PECOS PAC ID: 5991160418 Enrollment ID: I20230504002287 |
| Provider Name | Michelle M Woznicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891406104 PECOS PAC ID: 7214393230 Enrollment ID: I20230517002940 |
| Provider Name | Justin L Lentz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336849652 PECOS PAC ID: 6406212372 Enrollment ID: I20230518002149 |
| Provider Name | Juan M Lares Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407557994 PECOS PAC ID: 2062878838 Enrollment ID: I20230521000144 |
| Provider Name | Grisset Rivera Diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235361999 PECOS PAC ID: 6204128085 Enrollment ID: I20230531003725 |
| Provider Name | Camille Morales Zanubrana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073202826 PECOS PAC ID: 6709245996 Enrollment ID: I20230706001970 |
| Provider Name | Krista N Lindstrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588330252 PECOS PAC ID: 0446610257 Enrollment ID: I20230712000874 |
| Provider Name | Grayson Shea Verity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770275406 PECOS PAC ID: 7416317110 Enrollment ID: I20230712004790 |
| Provider Name | Lakshmidevi Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629755772 PECOS PAC ID: 1254791700 Enrollment ID: I20230717001002 |
| Provider Name | Seth J Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144659715 PECOS PAC ID: 1951530898 Enrollment ID: I20230719002186 |
| Provider Name | Sheila E Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275232878 PECOS PAC ID: 5890156624 Enrollment ID: I20230726003190 |
| Provider Name | Alyssa Holte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114642261 PECOS PAC ID: 2961870274 Enrollment ID: I20230731000148 |
| Provider Name | Maria Lopez Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295354231 PECOS PAC ID: 1658792254 Enrollment ID: I20230807002290 |
| Provider Name | Christelle Alerte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841073251 PECOS PAC ID: 3274996889 Enrollment ID: I20230830001760 |
| Provider Name | Molly Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208906 PECOS PAC ID: 6901250950 Enrollment ID: I20230926001632 |
| Provider Name | Haya Awad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265121594 PECOS PAC ID: 7810341781 Enrollment ID: I20230926002456 |
| Provider Name | Kimberly Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457138307 PECOS PAC ID: 7719331628 Enrollment ID: I20230926004438 |
| Provider Name | Wendy N Ruano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659151132 PECOS PAC ID: 5698122067 Enrollment ID: I20231106003602 |
| Provider Name | Kristen Ellen Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669133005 PECOS PAC ID: 8820446156 Enrollment ID: I20231128001507 |
| Provider Name | Kathlyn Lorge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013796002 PECOS PAC ID: 0244688190 Enrollment ID: I20231203000053 |
| Provider Name | Lidisy Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821776923 PECOS PAC ID: 0648629212 Enrollment ID: I20231207001973 |
| Provider Name | Shilpy Bunce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457131153 PECOS PAC ID: 5698125870 Enrollment ID: I20231229002859 |
| Provider Name | Taylor Banaszak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679341754 PECOS PAC ID: 2961854930 Enrollment ID: I20240116002474 |
| Provider Name | Sandra Fermina Rosario Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558134692 PECOS PAC ID: 6002268380 Enrollment ID: I20240123001581 |
| Provider Name | Zachary K Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164290912 PECOS PAC ID: 2163865783 Enrollment ID: I20240209002666 |
| Provider Name | Antoinette Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811572290 PECOS PAC ID: 1456794072 Enrollment ID: I20240209002910 |
| Provider Name | Dana R Mongelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018415 PECOS PAC ID: 2860839396 Enrollment ID: I20240320001263 |
| Provider Name | David N Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588429294 PECOS PAC ID: 5395184105 Enrollment ID: I20240412002231 |
| Provider Name | Jennifer Marie Warras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275383424 PECOS PAC ID: 1658711197 Enrollment ID: I20240430004111 |
| Provider Name | Aurea D Desouza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972362499 PECOS PAC ID: 1759721194 Enrollment ID: I20240501003881 |
| Provider Name | Joshua T Vesely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013758549 PECOS PAC ID: 8224576871 Enrollment ID: I20240814003706 |
| Provider Name | Alondra Ortiz De Jesus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740019371 PECOS PAC ID: 8224579206 Enrollment ID: I20240917004900 |
| Provider Name | Jorge L Martinez Bruna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093544876 PECOS PAC ID: 5890236590 Enrollment ID: I20240922000005 |
| Provider Name | Sogand I Abbasi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205608197 PECOS PAC ID: 2466983598 Enrollment ID: I20241001000838 |
| Provider Name | Yasmin S Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043049521 PECOS PAC ID: 7517499049 Enrollment ID: I20241022001784 |
| Provider Name | Jules Niedermeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548088743 PECOS PAC ID: 0446783310 Enrollment ID: I20241030003051 |
| Provider Name | Sean M Berringer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558199109 PECOS PAC ID: 7113451501 Enrollment ID: I20241107001867 |
| Provider Name | Lynetta F Trice-bickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962987511 PECOS PAC ID: 8325278419 Enrollment ID: I20241114003651 |
| Provider Name | Jessica Saccente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013785286 PECOS PAC ID: 3072048990 Enrollment ID: I20241130000336 |
| Provider Name | Tiffany Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790596377 PECOS PAC ID: 7315477858 Enrollment ID: I20250212002987 |
| Provider Name | Natasia N Schaefer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598578205 PECOS PAC ID: 3678098621 Enrollment ID: I20250422003382 |
| Provider Name | Matthew S Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629805130 PECOS PAC ID: 8022540103 Enrollment ID: I20250508000624 |
| Provider Name | William C Aman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821829904 PECOS PAC ID: 4688106909 Enrollment ID: I20250508002695 |
| Provider Name | Ifeyinwa Umeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841447091 PECOS PAC ID: 3577080969 Enrollment ID: I20250508002800 |
| Provider Name | Erick Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447014071 PECOS PAC ID: 3476071648 Enrollment ID: I20250520005059 |
| Provider Name | Jonathan L Mckinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144951369 PECOS PAC ID: 8527434786 Enrollment ID: I20250529002649 |
| Provider Name | Maria Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477383271 PECOS PAC ID: 6608300876 Enrollment ID: I20250529003152 |
| Provider Name | Daniel Shuder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467906529 PECOS PAC ID: 1850671447 Enrollment ID: I20250617001828 |
| Provider Name | Danielle Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396530044 PECOS PAC ID: 5890206775 Enrollment ID: I20250617003410 |
| Provider Name | Marielys Murrieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366262859 PECOS PAC ID: 4385155274 Enrollment ID: I20250617003668 |
| Provider Name | Andrew Danchisko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932929809 PECOS PAC ID: 8628589447 Enrollment ID: I20250617004347 |
| Provider Name | Timothy J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962085498 PECOS PAC ID: 2264833045 Enrollment ID: I20250715001024 |
| Provider Name | Lauryn a White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750129722 PECOS PAC ID: 8921513128 Enrollment ID: I20250716001867 |
| Provider Name | Sabine Worthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730078999 PECOS PAC ID: 9638686769 Enrollment ID: I20250724002377 |
| Provider Name | Emily Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063224541 PECOS PAC ID: 2466969472 Enrollment ID: I20250725000420 |
| Provider Name | Jaclyn T Castelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083399232 PECOS PAC ID: 5597273789 Enrollment ID: I20250731000497 |
| Provider Name | Myles K Kawamura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013013853 PECOS PAC ID: 5890762132 Enrollment ID: I20250804002412 |
| Provider Name | Zachary J Prioletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174417000 PECOS PAC ID: 2668970906 Enrollment ID: I20250807000655 |
| Provider Name | Chikaodinaka I Nkwocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306575386 PECOS PAC ID: 0941689327 Enrollment ID: I20250815000604 |
| Provider Name | James Edward Wirth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932909702 PECOS PAC ID: 5193225233 Enrollment ID: I20250824000145 |
| Provider Name | Duoc Q Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972357630 PECOS PAC ID: 0648771220 Enrollment ID: I20250827002278 |
| Provider Name | Nicole M Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235013558 PECOS PAC ID: 2961908405 Enrollment ID: I20251002003374 |
| Provider Name | Kristina Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659244044 PECOS PAC ID: 6709371768 Enrollment ID: I20251217004686 |
| Provider Name | Rory J Saliger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982663993 PECOS PAC ID: 9335403476 Enrollment ID: I20251222003763 |
| Provider Name | Marie Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255958518 PECOS PAC ID: 3779069844 Enrollment ID: I20260108000935 |
| Provider Name | Lauren Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356201610 PECOS PAC ID: 0244711083 Enrollment ID: I20260219004375 |
| Provider Name | Cassandra L Nester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255298386 PECOS PAC ID: 9234610072 Enrollment ID: I20260219004422 |
| Provider Name | Amanda Bracero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639979644 PECOS PAC ID: 9537640990 Enrollment ID: I20260224001523 |
| Provider Name | Kevin Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700745932 PECOS PAC ID: 3476036492 Enrollment ID: I20260309001161 |
| Provider Name | Christopher B Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750721866 PECOS PAC ID: 8729561774 Enrollment ID: I20260309002319 |
| Provider Name | Sherrilee S Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083573281 PECOS PAC ID: 0244713659 Enrollment ID: I20260313002225 |
| Provider Name | Chrisja Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083403604 PECOS PAC ID: 7719454800 Enrollment ID: I20260427000812 |
Orlando Freedom Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Maitland Ave Ste D2, Maitland, FL 32751 Phone: 407-636-4100 Fax: 407-636-4126 |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Maitland Ave Ste 103, Maitland, FL 32751 Phone: 407-660-7011 |
Yhn 2 LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Jackson St, Maitland, FL 32751 Phone: 407-463-2654 |
Doctor's Associates of Orlando , LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 670 N Orlando Ave Ste 1012, Maitland, FL 32751 Phone: 407-790-7870 Fax: 407-790-7872 |
Orlando Advanced Primary Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Maitland Ave, Suite C-1, Maitland, FL 32751 Phone: 407-644-2218 Fax: 407-644-9260 |
Center for Acupuncture and Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 N Orlando Ave, Ste 1018, Maitland, FL 32751 Phone: 818-571-7296 |