Eustus Stephen Nelson (NPI# 1417957507, PAC ID# 0143307181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1417957507 |
PAC ID by PECOS | 0143307181 |
Professional Enrollment ID | I20100831000473 |
Full Name | Eustus Stephen Nelson |
Organization Legal Name | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
Address |
905 N Central Ave Kissimmee FL 34741-5005 |
Phone Number | 4079437317 |
Gender | M |
Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 5193895969 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100110 | OSCEOLA REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
905 N Central Ave, Kissimmee, FL 34741-5005 | 4079437317 | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
Organization Legal Name | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Khaled M Shahrour | Urology | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
Erik D Schoenberg | Otolaryngology | Central Florida Physician Network LLC | 200 N Mangoustine Ave, Sanford, FL 32771-1017 |
Robert A Badalament | Urology | Central Florida Physician Network LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
Marvin J Young | Urology | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
John J Mcgetrick | Urology | Central Florida Physician Network LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
Christy A Waldron | Nurse Practitioner | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
Prakash N Maniam | Urology | Central Florida Physician Network LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
Judith C. Mcdonald | Physician Assistant | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
Alberto M Maldonado | Cardiac Surgery | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
Street Address |
905 N CENTRAL AVE |
City | KISSIMMEE |
State | FL |
Zip | 34741-5005 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan G Escobar Quintero | Chiropractic | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
Gloria M Rodriguez Rodriguez | Nurse Practitioner | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
Norberto Enrique Gonzalez | Internal Medicine | 3284 N Greenwald Way, Kissimmee, FL 34741-0728 | |
Sharon A Stokes | Dermatology | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
Diahann M Alleyne | Family Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
Yekatherine Rasmussen | Internal Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
Robert M Winstead | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
Beatrice Bencosme | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
Wade Michael Burkard | Emergency Medicine | Nosky Pa | 1157 Miranda Ln, Kissimmee, FL 34741-0763 |
Miriam C Carnemolla | Nurse Practitioner | Adventist Health System Sunbelt Inc | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 |
Find all physicians in zip 34741 |
City | KISSIMMEE |
Zip Code | 34741 |
Specialty | UROLOGY |
City + Specialty | KISSIMMEE + UROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.