| Florida Rehab Specialists, PLLC | |
|
300 Nw 1st Ave Williston FL 32696-2006 | |
| (352) 234-3050 | |
| Not Available |
| Full Name | Florida Rehab Specialists, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Nw 1st Ave, Williston, Florida |
| Authorized Official Name and Position | Stefan Mann (PRESIDENT) |
| Authorized Official Contact | 3522343050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Rehab Specialists, PLLC 817 Nw 56th Ter Ste B Gainesville FL 32605-6401 Ph: (352) 234-3050 | Florida Rehab Specialists, PLLC 300 Nw 1st Ave Williston FL 32696-2006 Ph: (352) 234-3050 |
| NPI Number | 1447941984 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 11/25/2025 |
| Certification Date | 11/25/2025 |
| Medicare PECOS PAC ID | 5890155279 |
|---|---|
| Medicare Enrollment ID | O20230717002638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447941984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
| 208M00000X | Hospitalist | () | Secondary |
| Provider Name | Karen Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093883357 PECOS PAC ID: 6608843073 Enrollment ID: I20040918000009 |
| Provider Name | Martin N Schnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043283351 PECOS PAC ID: 8426035247 Enrollment ID: I20050518000374 |
| Provider Name | Michelle Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659336634 PECOS PAC ID: 7416992128 Enrollment ID: I20050623000126 |
| Provider Name | Robert L Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629008073 PECOS PAC ID: 4385642453 Enrollment ID: I20061128000255 |
| Provider Name | Ivan Soosaipillai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649289059 PECOS PAC ID: 5890794333 Enrollment ID: I20061212000133 |
| Provider Name | Joseph W Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316015423 PECOS PAC ID: 0941202584 Enrollment ID: I20070209000478 |
| Provider Name | Myriam I Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871536334 PECOS PAC ID: 9739286964 Enrollment ID: I20070522000548 |
| Provider Name | Angela Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598823486 PECOS PAC ID: 4385742287 Enrollment ID: I20070530000513 |
| Provider Name | Cecilia Bato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164617387 PECOS PAC ID: 6507932233 Enrollment ID: I20080904000107 |
| Provider Name | Marisela Dominguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205949104 PECOS PAC ID: 1850459231 Enrollment ID: I20081029000571 |
| Provider Name | Elaine D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447200837 PECOS PAC ID: 2860540028 Enrollment ID: I20090428000536 |
| Provider Name | Elly Benzaquen Parkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053562751 PECOS PAC ID: 4587701933 Enrollment ID: I20091016000524 |
| Provider Name | Edward J Sambey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720084544 PECOS PAC ID: 6608910849 Enrollment ID: I20100225000534 |
| Provider Name | John Potomski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1083657183 PECOS PAC ID: 7416080759 Enrollment ID: I20100806000228 |
| Provider Name | Kimberly Wieringa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316136591 PECOS PAC ID: 6204029416 Enrollment ID: I20101020000962 |
| Provider Name | Claudio F Manubens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992700363 PECOS PAC ID: 8426231515 Enrollment ID: I20110328000452 |
| Provider Name | Perinchery Narayan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083635494 PECOS PAC ID: 0749313716 Enrollment ID: I20120131000396 |
| Provider Name | Jaime S Solorzano Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609031442 PECOS PAC ID: 0941467468 Enrollment ID: I20120210000093 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20120515000440 |
| Provider Name | Karen Elizabeth Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104197441 PECOS PAC ID: 4688838014 Enrollment ID: I20120614000201 |
| Provider Name | Sukaina Nicophene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265782064 PECOS PAC ID: 4789836156 Enrollment ID: I20121211000176 |
| Provider Name | Marcus a Frey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346521150 PECOS PAC ID: 6800033457 Enrollment ID: I20130520000178 |
| Provider Name | Kimberly Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265775969 PECOS PAC ID: 1052554078 Enrollment ID: I20130823000449 |
| Provider Name | Rose Adaku Jonah Origa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083998579 PECOS PAC ID: 1456588581 Enrollment ID: I20131218000327 |
| Provider Name | Jessica Register |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467881979 PECOS PAC ID: 0446481329 Enrollment ID: I20140317001605 |
| Provider Name | James M Visintin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316365190 PECOS PAC ID: 6002049418 Enrollment ID: I20140508001368 |
| Provider Name | Joy Lynn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841603883 PECOS PAC ID: 7214153287 Enrollment ID: I20140728002190 |
| Provider Name | Blake Allen Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215341086 PECOS PAC ID: 5698993541 Enrollment ID: I20140905002149 |
| Provider Name | Justin N Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346532215 PECOS PAC ID: 8921241571 Enrollment ID: I20140923000609 |
| Provider Name | Oscar a Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124427521 PECOS PAC ID: 8325268220 Enrollment ID: I20140926001976 |
| Provider Name | Claire M Verna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376830984 PECOS PAC ID: 8325206659 Enrollment ID: I20141009002232 |
| Provider Name | Rosamma Babyjoseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704082 PECOS PAC ID: 9931424215 Enrollment ID: I20150209000167 |
| Provider Name | Cynthia D Heyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588185 PECOS PAC ID: 1355661497 Enrollment ID: I20150513001728 |
| Provider Name | Melissa V Piquion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447654967 PECOS PAC ID: 0345560181 Enrollment ID: I20150519002527 |
| Provider Name | Rory C Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043522915 PECOS PAC ID: 9638307564 Enrollment ID: I20150728003524 |
| Provider Name | Tsahai Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861851552 PECOS PAC ID: 5799081980 Enrollment ID: I20160315001120 |
| Provider Name | Tristan Nicole Reddick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588004063 PECOS PAC ID: 9133352271 Enrollment ID: I20161026001364 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Lesley a Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770038226 PECOS PAC ID: 0749578276 Enrollment ID: I20170207001687 |
| Provider Name | Nichola K Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824207 PECOS PAC ID: 5799069928 Enrollment ID: I20170307000366 |
| Provider Name | Cindy Barrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912437419 PECOS PAC ID: 7416229752 Enrollment ID: I20170821002082 |
| Provider Name | Muaz S Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992112304 PECOS PAC ID: 2062638075 Enrollment ID: I20170822001423 |
| Provider Name | Christian Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972596 PECOS PAC ID: 1052684206 Enrollment ID: I20170909000043 |
| Provider Name | David C Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811411754 PECOS PAC ID: 9436416849 Enrollment ID: I20171120001330 |
| Provider Name | Iren Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20171129003483 |
| Provider Name | Jocelyn C Eslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159107 PECOS PAC ID: 6305102039 Enrollment ID: I20180131003016 |
| Provider Name | Jennifer L Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972014520 PECOS PAC ID: 6204199805 Enrollment ID: I20180412002082 |
| Provider Name | Andriz Marotiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609301357 PECOS PAC ID: 3577818350 Enrollment ID: I20180619002184 |
| Provider Name | Pornchai Kittivarakarn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427436385 PECOS PAC ID: 6204142508 Enrollment ID: I20180621000431 |
| Provider Name | Zeshan Aslam Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851786255 PECOS PAC ID: 0941514897 Enrollment ID: I20180709001982 |
| Provider Name | Robert L Harrell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831110402 PECOS PAC ID: 7618870965 Enrollment ID: I20180820003698 |
| Provider Name | Eddie Irfan Murgasen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336529437 PECOS PAC ID: 8325342298 Enrollment ID: I20181017000612 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20190114001352 |
| Provider Name | Joseph N Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679951321 PECOS PAC ID: 1355657669 Enrollment ID: I20190131002821 |
| Provider Name | Arlene M Beckford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235500778 PECOS PAC ID: 0143569525 Enrollment ID: I20190301000549 |
| Provider Name | Leeanne Jessica Odum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659844306 PECOS PAC ID: 1951640986 Enrollment ID: I20190308000710 |
| Provider Name | Camilla D Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747047 PECOS PAC ID: 1557602984 Enrollment ID: I20190411000735 |
| Provider Name | Rose N Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982145462 PECOS PAC ID: 4880937713 Enrollment ID: I20190516002661 |
| Provider Name | Reathea Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417411836 PECOS PAC ID: 3375876238 Enrollment ID: I20190607000667 |
| Provider Name | Lynval Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194210807 PECOS PAC ID: 3072847888 Enrollment ID: I20190628000184 |
| Provider Name | Veneiza Schwanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366634883 PECOS PAC ID: 5193050292 Enrollment ID: I20190711002027 |
| Provider Name | Ramon a Docobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881041226 PECOS PAC ID: 5698069466 Enrollment ID: I20190718001578 |
| Provider Name | Mohamad Hatahet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381140 PECOS PAC ID: 2365778131 Enrollment ID: I20190731003633 |
| Provider Name | Tiffany N Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821579103 PECOS PAC ID: 2567790322 Enrollment ID: I20190819001617 |
| Provider Name | Nikki a Denson Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538636147 PECOS PAC ID: 1153650510 Enrollment ID: I20190910001942 |
| Provider Name | Jose Enrique Bird-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871979732 PECOS PAC ID: 3173854023 Enrollment ID: I20191008002682 |
| Provider Name | Katsie Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669027991 PECOS PAC ID: 5698100980 Enrollment ID: I20200114003173 |
| Provider Name | Jaime M Adleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093110819 PECOS PAC ID: 0446575245 Enrollment ID: I20200116000446 |
| Provider Name | Lacey Ashton Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245863844 PECOS PAC ID: 7911338827 Enrollment ID: I20200508002527 |
| Provider Name | Channa B Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285757021 PECOS PAC ID: 4587704291 Enrollment ID: I20200616001307 |
| Provider Name | Evan J Lindbergh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386173102 PECOS PAC ID: 2466876917 Enrollment ID: I20200716004052 |
| Provider Name | Kellie Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073130548 PECOS PAC ID: 9133544323 Enrollment ID: I20200805001342 |
| Provider Name | Amanda Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427674472 PECOS PAC ID: 9032535315 Enrollment ID: I20200818000159 |
| Provider Name | Nwamaka Onyeozili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972023836 PECOS PAC ID: 2163796103 Enrollment ID: I20200908002565 |
| Provider Name | Jermaine M P Ekobena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689191678 PECOS PAC ID: 6608294491 Enrollment ID: I20200910001491 |
| Provider Name | Harish Kotipoyina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184157844 PECOS PAC ID: 0143593418 Enrollment ID: I20200928002619 |
| Provider Name | Rikki Lee a Mccroskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104432467 PECOS PAC ID: 2365861614 Enrollment ID: I20201006001306 |
| Provider Name | Lisa Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770181182 PECOS PAC ID: 9133532070 Enrollment ID: I20210113002040 |
| Provider Name | Daniela C Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790372167 PECOS PAC ID: 9739595455 Enrollment ID: I20210304000458 |
| Provider Name | Sherlyne Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962011502 PECOS PAC ID: 7618385493 Enrollment ID: I20210415000980 |
| Provider Name | Vanessa Pilar Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548349376 PECOS PAC ID: 8527218247 Enrollment ID: I20210427002848 |
| Provider Name | Ryan David Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584758 PECOS PAC ID: 8123372273 Enrollment ID: I20210513000337 |
| Provider Name | Rebecca Thornhill |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164957916 PECOS PAC ID: 9931472651 Enrollment ID: I20210524000014 |
| Provider Name | Yalori Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609486356 PECOS PAC ID: 1254732035 Enrollment ID: I20210630003017 |
| Provider Name | Ahmed Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154826907 PECOS PAC ID: 2860895950 Enrollment ID: I20210727002856 |
| Provider Name | Nailatricia Vilela Barbosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701285 PECOS PAC ID: 0749684553 Enrollment ID: I20210802000743 |
| Provider Name | Stefan Samuel Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356847388 PECOS PAC ID: 0446504443 Enrollment ID: I20210811001851 |
| Provider Name | Stacie Dolores Malyszko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306519731 PECOS PAC ID: 6103221163 Enrollment ID: I20210830001162 |
| Provider Name | Nicholas Samuel Yunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851740799 PECOS PAC ID: 6103199484 Enrollment ID: I20210909003717 |
| Provider Name | Thamara Marcelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912556812 PECOS PAC ID: 4385975416 Enrollment ID: I20210909003839 |
| Provider Name | Jennifer L Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043981418 PECOS PAC ID: 5698173979 Enrollment ID: I20211018002513 |
| Provider Name | Anthony Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457819385 PECOS PAC ID: 8729477146 Enrollment ID: I20211105000098 |
| Provider Name | Misty Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508335290 PECOS PAC ID: 7517203086 Enrollment ID: I20211129000648 |
| Provider Name | Hope Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750963476 PECOS PAC ID: 1456741198 Enrollment ID: I20211210002448 |
| Provider Name | Daniel Frank Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093345860 PECOS PAC ID: 6406247006 Enrollment ID: I20211215000648 |
| Provider Name | Latonya Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528733284 PECOS PAC ID: 0648662106 Enrollment ID: I20220113002494 |
| Provider Name | Brittany J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140958 PECOS PAC ID: 1254723455 Enrollment ID: I20220120001992 |
| Provider Name | Iffat Shaheen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568853844 PECOS PAC ID: 7113349572 Enrollment ID: I20220204001714 |
| Provider Name | George Yazji |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417417924 PECOS PAC ID: 7810225091 Enrollment ID: I20220209001462 |
| Provider Name | Rochelle Rosalie Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942771027 PECOS PAC ID: 6103166319 Enrollment ID: I20220311002296 |
| Provider Name | Brittany Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922672013 PECOS PAC ID: 6800281502 Enrollment ID: I20220316000686 |
| Provider Name | Ira M Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427232107 PECOS PAC ID: 3072908672 Enrollment ID: I20220317001763 |
| Provider Name | Jesse Carl Grieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639735962 PECOS PAC ID: 3476948522 Enrollment ID: I20220328001189 |
| Provider Name | Tymber Tatum Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861018988 PECOS PAC ID: 3779979257 Enrollment ID: I20220410000102 |
| Provider Name | Holly Garver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972272870 PECOS PAC ID: 3072900042 Enrollment ID: I20220420002813 |
| Provider Name | Camille Hazlewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083299325 PECOS PAC ID: 2264819895 Enrollment ID: I20220519001235 |
| Provider Name | Zekaria Asnake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689134454 PECOS PAC ID: 6800275785 Enrollment ID: I20220623001403 |
| Provider Name | Monica L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275139982 PECOS PAC ID: 1456732668 Enrollment ID: I20220720000110 |
| Provider Name | Kelly J. Lemaire |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730738790 PECOS PAC ID: 9739563321 Enrollment ID: I20220831001033 |
| Provider Name | Setha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962972570 PECOS PAC ID: 1254667942 Enrollment ID: I20220901000072 |
| Provider Name | Paweena Panananon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366161085 PECOS PAC ID: 9234515271 Enrollment ID: I20220928003715 |
| Provider Name | Muhammad a Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477088656 PECOS PAC ID: 9638584030 Enrollment ID: I20221017003341 |
| Provider Name | Bernice M Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174178958 PECOS PAC ID: 2062881667 Enrollment ID: I20221202001469 |
| Provider Name | Jeffrey Barnett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952898694 PECOS PAC ID: 7012243678 Enrollment ID: I20221220000460 |
| Provider Name | Carline Pajotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508570276 PECOS PAC ID: 3375914237 Enrollment ID: I20230201000799 |
| Provider Name | Edgar Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407553423 PECOS PAC ID: 8325411523 Enrollment ID: I20230309001699 |
| Provider Name | Uhuru Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578871869 PECOS PAC ID: 2961894423 Enrollment ID: I20230323002265 |
| Provider Name | Cora Ann Torres-mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295435691 PECOS PAC ID: 8224493028 Enrollment ID: I20230501001495 |
| Provider Name | Jessica Diane Veloza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215639943 PECOS PAC ID: 7214393578 Enrollment ID: I20230512000014 |
| Provider Name | Karthikram Komanduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023578473 PECOS PAC ID: 6103284179 Enrollment ID: I20230623000075 |
| Provider Name | Molly Ann Poucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154006948 PECOS PAC ID: 0648639807 Enrollment ID: I20230706000703 |
| Provider Name | Benjamin Sinyor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326676941 PECOS PAC ID: 9638592827 Enrollment ID: I20230713004205 |
| Provider Name | Sukoluhle Musindire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851080204 PECOS PAC ID: 1850752460 Enrollment ID: I20230730000080 |
| Provider Name | Hossein Tohidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
| Provider Name | Ajitha Jickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437833688 PECOS PAC ID: 2567825318 Enrollment ID: I20230828002682 |
| Provider Name | Stephanie Danielle Ruise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558075440 PECOS PAC ID: 9133583180 Enrollment ID: I20230911001104 |
| Provider Name | Elena Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245010495 PECOS PAC ID: 1658727672 Enrollment ID: I20231027001296 |
| Provider Name | Paul V Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770263261 PECOS PAC ID: 1355598467 Enrollment ID: I20240201004570 |
| Provider Name | Janelle Annet Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831882281 PECOS PAC ID: 2365895646 Enrollment ID: I20240202001830 |
| Provider Name | Danna Edmond-volmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053051490 PECOS PAC ID: 4587051040 Enrollment ID: I20240226002452 |
| Provider Name | Heidy M Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023687878 PECOS PAC ID: 1658716659 Enrollment ID: I20240229002331 |
| Provider Name | Elie Fegahli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545300 PECOS PAC ID: 4183061096 Enrollment ID: I20240327000241 |
| Provider Name | Marie Almanord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669242848 PECOS PAC ID: 5092106310 Enrollment ID: I20240328003900 |
| Provider Name | Bridgett Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477166635 PECOS PAC ID: 4082055140 Enrollment ID: I20240507004555 |
| Provider Name | Jennifer L Fralick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760236673 PECOS PAC ID: 0941641278 Enrollment ID: I20240516003576 |
| Provider Name | Yvenadine Cherazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813286 PECOS PAC ID: 3971945544 Enrollment ID: I20240528003257 |
| Provider Name | Amy Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376314401 PECOS PAC ID: 4082156385 Enrollment ID: I20240601000221 |
| Provider Name | Angela Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043076805 PECOS PAC ID: 1254873375 Enrollment ID: I20240604004426 |
| Provider Name | Adam Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225520901 PECOS PAC ID: 9830445063 Enrollment ID: I20240705001119 |
| Provider Name | Amit Chakrabarty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598786725 PECOS PAC ID: 9133143746 Enrollment ID: I20240705003059 |
| Provider Name | Janet E Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609623032 PECOS PAC ID: 1557808250 Enrollment ID: I20240730003980 |
| Provider Name | Odecir E Gocking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144917626 PECOS PAC ID: 0648636407 Enrollment ID: I20240814001851 |
| Provider Name | Ivette Cardenas-esprit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124878202 PECOS PAC ID: 6709325525 Enrollment ID: I20240826000362 |
| Provider Name | Justin Daejun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366029035 PECOS PAC ID: 0042616302 Enrollment ID: I20240905004140 |
| Provider Name | Cynthia Ann Meier Ham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871500991 PECOS PAC ID: 5991702532 Enrollment ID: I20240910001494 |
| Provider Name | Rolla Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235758046 PECOS PAC ID: 7113467713 Enrollment ID: I20240910002928 |
| Provider Name | Pamela Denise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386493526 PECOS PAC ID: 5799225959 Enrollment ID: I20240913003409 |
| Provider Name | Elizabeth Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882355 PECOS PAC ID: 7911273776 Enrollment ID: I20241025000972 |
| Provider Name | Priscillia Rinaldy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728585 PECOS PAC ID: 5496288680 Enrollment ID: I20241025003495 |
| Provider Name | Nina Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699367599 PECOS PAC ID: 2769883750 Enrollment ID: I20241107003239 |
| Provider Name | Maneka Nadia Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871160614 PECOS PAC ID: 8628503513 Enrollment ID: I20241202002682 |
| Provider Name | Zehra I Samnani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255159356 PECOS PAC ID: 2860927647 Enrollment ID: I20241203002577 |
| Provider Name | Latorya Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114788783 PECOS PAC ID: 7113453531 Enrollment ID: I20241209003800 |
| Provider Name | Twanya Udora Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740006261 PECOS PAC ID: 7911434071 Enrollment ID: I20241231002239 |
| Provider Name | Saquib Anjum |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497082218 PECOS PAC ID: 9032348503 Enrollment ID: I20250124001498 |
| Provider Name | Brian Contreras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571783 PECOS PAC ID: 9032593082 Enrollment ID: I20250213002129 |
| Provider Name | Lourdie Chachoute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558940981 PECOS PAC ID: 5698295806 Enrollment ID: I20250218003357 |
| Provider Name | Jorlenny Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679379911 PECOS PAC ID: 2769904911 Enrollment ID: I20250318001596 |
| Provider Name | Michael Fernsis Bekhit |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1952171738 PECOS PAC ID: 4880117100 Enrollment ID: I20250327002185 |
| Provider Name | Ingrid Allison Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396409637 PECOS PAC ID: 3375066244 Enrollment ID: I20250401002251 |
| Provider Name | Meriem Nour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821688193 PECOS PAC ID: 0446773170 Enrollment ID: I20250402003142 |
| Provider Name | Candace Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598565400 PECOS PAC ID: 4688198625 Enrollment ID: I20250410003331 |
| Provider Name | Roxi Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801483714 PECOS PAC ID: 4385169739 Enrollment ID: I20250508001407 |
| Provider Name | Lien T Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225876345 PECOS PAC ID: 2466979729 Enrollment ID: I20250509000931 |
| Provider Name | Tina Marie Sevilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912657255 PECOS PAC ID: 9436678083 Enrollment ID: I20250527003086 |
| Provider Name | Marcelete Thompson Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366234106 PECOS PAC ID: 8123538469 Enrollment ID: I20250606001289 |
| Provider Name | Tiffany Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083507446 PECOS PAC ID: 9234642380 Enrollment ID: I20250701003487 |
| Provider Name | Camille Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760170765 PECOS PAC ID: 1153838008 Enrollment ID: I20250725004082 |
| Provider Name | Elena Guzman Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730695248 PECOS PAC ID: 2365950490 Enrollment ID: I20250731003771 |
| Provider Name | Kodee Marie Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346122041 PECOS PAC ID: 4486162427 Enrollment ID: I20250801001530 |
| Provider Name | Mehmet Ali Sari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801537337 PECOS PAC ID: 3779082292 Enrollment ID: I20250820001190 |
| Provider Name | Sara Shunkwiler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629158688 PECOS PAC ID: 1456679299 Enrollment ID: I20250828002672 |
| Provider Name | Samir Khan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104563790 PECOS PAC ID: 4587167184 Enrollment ID: I20250910003658 |
| Provider Name | Kelsi L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659024578 PECOS PAC ID: 8426442906 Enrollment ID: I20250912002026 |
| Provider Name | Brittney Duerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861183832 PECOS PAC ID: 7618470766 Enrollment ID: I20250912003822 |
| Provider Name | Erica Amber Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003706730 PECOS PAC ID: 1850896770 Enrollment ID: I20250923002394 |
| Provider Name | Jordyn Elsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316725856 PECOS PAC ID: 5991152829 Enrollment ID: I20250925001998 |
| Provider Name | Micheala Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013893080 PECOS PAC ID: 0547766412 Enrollment ID: I20250930002332 |
| Provider Name | Janet Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508384462 PECOS PAC ID: 1850659392 Enrollment ID: I20251003001316 |
| Provider Name | Josef Leetmaa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447888037 PECOS PAC ID: 7517380355 Enrollment ID: I20251003002388 |
| Provider Name | Silvana Aisha Memon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679382626 PECOS PAC ID: 1557629805 Enrollment ID: I20251006003987 |
| Provider Name | Sarah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158842 PECOS PAC ID: 1052818218 Enrollment ID: I20251007000285 |
| Provider Name | Kristin Victoria Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477155018 PECOS PAC ID: 5395147417 Enrollment ID: I20251008000113 |
| Provider Name | Nicole Aguila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710722863 PECOS PAC ID: 4981191871 Enrollment ID: I20251014003420 |
| Provider Name | Dionicia Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922417385 PECOS PAC ID: 9133489701 Enrollment ID: I20251103003039 |
| Provider Name | Marichris Zahnle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447242441 PECOS PAC ID: 4789676768 Enrollment ID: I20251111003208 |
| Provider Name | Kimberly Charlette Taylor-mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740144906 PECOS PAC ID: 9133604986 Enrollment ID: I20260330002041 |
| Provider Name | Amy Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568922078 PECOS PAC ID: 4587056494 Enrollment ID: I20260414003254 |
| Provider Name | Tamarah Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326975814 PECOS PAC ID: 6204307473 Enrollment ID: I20260609000609 |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 N Main St, Williston, FL 32696 Phone: 352-528-0587 Fax: 352-528-4834 |
Nature Coast Medical Group PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Sw 7th St, Williston, FL 32696 Phone: 352-528-5801 Fax: 352-528-6019 |
Williston Family Practice,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W Noble Ave, Williston, FL 32696 Phone: 352-529-1111 Fax: 352-529-1115 |
Williston Pediatrics, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 N Main St, Williston, FL 32696 Phone: 352-529-0477 Fax: 352-529-0406 |
Williston Pediatrics, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 N Main St, Williston, FL 32696 Phone: 352-529-0477 Fax: 352-529-0406 |
Williston Rural Health and Wellness Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Nw 1st Ave, Williston, FL 32696 Phone: 352-529-0966 Fax: 352-529-0967 |