Amanda Pacheco (NPI# 1659800662, PAC ID# 0244506384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659800662 |
| PAC ID by PECOS | 0244506384 |
| Professional Enrollment ID | I20171018000531 |
| Full Name | Amanda Pacheco |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Address |
960 W Sugarland Hwy Medexpress Urgent Care Clewiston Clewiston FL 33440-2701 |
| Phone Number | 8368050189 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779573167 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 313 Se Pine Island Rd, Medexpress Urgent Care Cape Coral, Cape Coral, FL 33991-2043 | 2394586755 | DWIC OF TAMPA BAY INC |
| 960 W Sugarland Hwy, Medexpress Urgent Care Clewiston, Clewiston, FL 33440-2701 | 8368050189 | DWIC OF TAMPA BAY INC |
| 19985 S Tamiami Trail, Medexpress Urgent Care Estero S T, Estero, FL 33928-2268 | 2394953317 | DWIC OF TAMPA BAY INC |
| 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 | 2399362013 | DWIC OF TAMPA BAY INC |
| 1120 Homestead Rd N, Lehigh Acres, FL 33936-6044 | 2393035020 | DWIC OF TAMPA BAY INC |
| 2810 W Mlk Blvd, Tampa, FL 33607-6393 | 8138778450 | DWIC OF TAMPA BAY INC |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian A Villarreal | Family Medicine | Dwic of Tampa Bay Inc | 11985 Atlantic Blvd, Jacksonville, FL 32225-2919 |
| Richard B Boone | Family Medicine | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Anthony R Conti | Family Medicine | Dwic of Tampa Bay Inc | 13005 Collier Blvd, Naples, FL 34116-4003 |
| Judy L Miles | Nurse Practitioner | Dwic of Tampa Bay Inc | 5616 Tuscola Blvd, North Port, FL 34287-2738 |
| Robin M Longley | Family Practice | Dwic of Tampa Bay Inc | 13856 N Dale Mabry Hwy, Tampa, FL 33618-2420 |
| Ravindra N Vajjhala | Emergency Medicine | Dwic of Tampa Bay Inc | 2810 W Mlk Blvd, Tampa, FL 33607-6393 |
| Juliette M Vanputten | Family Medicine | Dwic of Tampa Bay Inc | 7720 Merrill Rd, Jacksonville, FL 32277-3715 |
| Lucas J Mcarthur | Emergency Medicine | Dwic of Tampa Bay Inc | 8849 State Rd, Suite 52, Hudson, FL 34667-6742 |
| Sandra M Brown | Nurse Practitioner | Dwic of Tampa Bay Inc | 313 Se Pine Island Rd, Medexpress Urgent Care Cape Coral, Cape Coral, FL 33991-2043 |
| Carey Ledee Krause | Nurse Practitioner | Dwic of Tampa Bay Inc | 20677 Bruce B Downs Blvd, Tampa, FL 33647-3553 |
| Street Address |
960 W SUGARLAND HWY MEDEXPRESS URGENT CARE CLEWISTON |
| City | CLEWISTON |
| State | FL |
| Zip | 33440-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Dochniak | Nurse Practitioner | Dwic of Tampa Bay Inc | 960 W Sugarland Hwy, Medexpress Urgent Care Clewiston, Clewiston, FL 33440-2701 |
| Stephanie M Wise | Nurse Practitioner | Dwic of Tampa Bay Inc | 960 W Sugarland Hwy, Medexpress Urgent Care Clewiston, Clewiston, FL 33440-2701 |
| Carlos Levy | General Practice | Dwic of Tampa Bay Inc | 960 W Sugarland Hwy, Medexpress Urgent Care Clewiston, Clewiston, FL 33440-2701 |
| Karey B Mewbourn | Nurse Practitioner | Dwic of Tampa Bay Inc | 960 W Sugarland Hwy, Medexpress Urgent Care Clewiston, Clewiston, FL 33440-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Tyrrell | Optometry | Eye Centers of Florida | 820 W Sugarland Hwy, Clewiston, FL 33440-2700 |
| David C Brown Iii | Ophthalmology | Eye Centers of Florida | 820 W Sugarland Hwy, Clewiston, FL 33440-2700 |
| Gloria A Montesclaros | Physical Therapy | 501e Sugarland Hwy, Clewiston, FL 33440-3210 | |
| Ryan Turner Nelson | Chiropractic | 905 W Ventura Ave, Clewiston, FL 33440-3411 | |
| Adnan Shariff | Podiatry | Adnan Shariff Inc | 1008 W Sagamore Ave, Clewiston, FL 33440-3420 |
| Laura Jones | Family Medicine | 115 S Gloria St, Clewiston, FL 33440-3505 | |
| Barbara Nyce Reesor | Physician Assistant | Sunshine Family Medicine Inc | 115 S Gloria St, Clewiston, FL 33440-3505 |
| Shaun A Nazar | Family Medicine | Hendry County Hospital Authority | 500 W Sagamore Ave, Clewiston, FL 33440-3514 |
| Nathaniel P Fleischner | Internal Medicine | Hospital Innovation Physicians LLC | 524 W Sagamore Ave, Clewiston, FL 33440-3514 |
| Udayashree Nune | Family Medicine | Hendry County Hospital Authority | 500 W Sagamore Ave, Clewiston, FL 33440-3514 |
| Find all physicians in zip 33440 | |||
| City | CLEWISTON |
| Zip Code | 33440 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEWISTON + NURSE PRACTITIONER |
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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.