Dr Lissette Carmona-roman, PSYD | |
521 Brunswick Dr, Davenport, FL 33837-4609 | |
(347) 480-6490 | |
Not Available |
Full Name | Dr Lissette Carmona-roman |
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Gender | Female |
Speciality | Psychologist |
Location | 521 Brunswick Dr, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861718975 | NPI | - | NPPES |
Entity Name | Refresh Canopy Cove, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
Mailing Address | Practice Location Address |
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Dr Lissette Carmona-roman, PSYD 521 Brunswick Dr, Davenport, FL 33837-4609 Ph: (347) 480-6490 | Dr Lissette Carmona-roman, PSYD 521 Brunswick Dr, Davenport, FL 33837-4609 Ph: (347) 480-6490 |
Sandra M Ballester, PSY. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 602 Coventry Rd, Davenport, FL 33897 Phone: 863-424-0194 | |
Jenniffer Gonzalez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 560 Westchester Ct, Davenport, FL 33837 Phone: 863-521-0893 | |
Schermika Yarise Velez, OTHER Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1467 Fox Squirrel Dr, Davenport, FL 33897 Phone: 321-926-5974 | |
Christian David Quiles, BA IN PSYCHOLOGY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2520 Sand Mine Rd, Davenport, FL 33897 Phone: 407-910-2941 | |
Linda Richardson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 416 Granada Blvd, Davenport, FL 33837 Phone: 510-363-7264 | |
Jorge David Rodriguez, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1467 Fox Squirrel Dr, Davenport, FL 33897 Phone: 863-326-8128 | |
Maria Del Pilar Mora, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2520 Sand Mine Rd, Davenport, FL 33897 Phone: 786-486-1206 |