Judith Petrin (NPI# 1437146339, PAC ID# 0345343075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437146339 |
| PAC ID by PECOS | 0345343075 |
| Professional Enrollment ID | I20070316000258 |
| Full Name | Judith Petrin |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Address |
12600 Creekside Ln Suite 7 Fort Myers FL 33919-3353 |
| Phone Number | 2393439220 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1993 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729996608 |
| Number of Group Practice Members | 649 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 | 2393439220 | LEE MEMORIAL HEALTH SYSTEM |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Physicians | 712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lucia Fernanda Reyes | Family Medicine | Lee Memorial Health System | 8960 Colonial Ctr Dr, Suite 300, Fort Myers, FL 33905-7810 |
| Patricia Carolina Subnaik | Pediatric Medicine | Lee Memorial Health System | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 |
| Samantha Head | Nurse Practitioner | Lee Memorial Health System | 5216 Clayton Ct, Fort Myers, FL 33907-2116 |
| Andrea Ossi Perkins | Nurse Practitioner | Lee Memorial Health System | 9131 College Pointe Ct, Fort Myers, FL 33919-3245 |
| Jane J Park | Internal Medicine | Lee Memorial Health System | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 |
| Robert David Glassman | Cardiovascular Disease (cardiology) | Lee Memorial Health System | 16261 Bass Rd, Suite 300, Fort Myers, FL 33908-3671 |
| Justin Burkholder | Emergency Medicine | Lee Memorial Health System | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Kristin A Gustin | Nurse Practitioner | Lee Memorial Health System | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 |
| Thomas Andrew Cappadona | Physician Assistant | Lee Memorial Health System | 1569 Matthew Dr, Fort Myers, FL 33907-1734 |
| Street Address |
12600 CREEKSIDE LN SUITE 7 |
| City | FORT MYERS |
| State | FL |
| Zip | 33919-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise M Mcpherson | Nurse Practitioner | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Tyson R Hutchison | Nurse Practitioner | Lee Memorial Health System | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 |
| Celeste M. Correa | Family Medicine | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Cristina Maria Larrazaleta Fajardo | Geriatric Medicine | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Dianne P Enright | Nurse Practitioner | Lee Memorial Health System | 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 |
| Pauline Frederick | Nurse Practitioner | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Michael P Shain | Psychologist, Clinical | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Tanja Mani | Psychologist, Clinical | Lee Memorial Health System | 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naser Kamkar | Family Medicine | 4575 Via Royale, Suite 216, Fort Myers, FL 33919-1019 | |
| Adelene Frances Tolisano | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Carlie M Black | Physician Assistant | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Sharon L Spoede | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Robert M Mandelkorn | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Robin Thad Goodwin | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Joseph G Magnant | Vascular Surgery | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Tanner | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Layman | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Angela M Tapia | Internal Medicine | Millennium Physician Group LLC | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 |
| Find all physicians in zip 33919 | |||
| City | FORT MYERS |
| Zip Code | 33919 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT MYERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Judith Petrin.
| 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.