Azeezat O Fashola (NPI# 1962982207, PAC ID# 1052656089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962982207 |
| PAC ID by PECOS | 1052656089 |
| Professional Enrollment ID | I20181220000258 |
| Full Name | Azeezat O Fashola |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Address |
18956 N Dale Mabry Hwy Suite 102 Lutz FL 33548-4915 |
| Phone Number | 8139488597 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971678558 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2020 Flamingo Dr, Bartow, FL 33830-4262 | 8635334104 | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| 18956 N Dale Mabry Hwy, Suite 102, Lutz, FL 33548-4915 | 8139488597 | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yearim Gutierrez Cotto | Internal Medicine | Wellmed Medical Management of Florida Inc | 415 W 49th St, Suite 1, Hialeah, FL 33012-3637 |
| Tina Marie Fitch Carter | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2701 W Saint Isabel St, Tampa, FL 33607-6324 |
| Barbara Muniz | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 13301 N Dale Mabry Hwy, Suite A, Tampa, FL 33618-2400 |
| Kimberly Anne Channels | Physician Assistant | Wellmed Medical Management of Florida Inc | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 |
| Charlotte Ann Hall | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 11924 Sheldon Rd, Tampa, FL 33626-3643 |
| Hannah M Beavers | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4278 W Linebaugh Ave, Suite B, Tampa, FL 33624-5241 |
| Melissa Pierre | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1685 Gulf To Bay Blvd, Clearwater, FL 33755-6422 |
| Andrew P Chase | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 6350 Central Ave, St Petersburg, FL 33707-1430 |
| Holger Fabrizio Montesdeoca | Internal Medicine | Wellmed Medical Management of Florida Inc | 5979 Vineland Rd, Suite 208, Orlando, FL 32819-7855 |
| Sarkis Barupian | Family Practice | Wellmed Medical Management of Florida Inc | 6092sefederal Hwy, Stuart, FL 34997-8101 |
| Street Address |
18956 N DALE MABRY HWY SUITE 102 |
| City | LUTZ |
| State | FL |
| Zip | 33548-4915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Meyer | Family Medicine | Wellmed Medical Management of Florida Inc | 18956 N Dale Mabry Hwy, Suite 102, Lutz, FL 33548-4915 |
| Jennifer Kendyl Richert | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 18956 N Dale Mabry Hwy, Suite 102, Lutz, FL 33548-4915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Anthony Loguidice Sr. | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Matthew Cotton Betteridge | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Jennifer D Nuss | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Stephanie Karen Wood | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Caterina N Rovoletto | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Michael A Borunda | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Glaymar Z Dominguez | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Michael J Christian | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Julie-lee Morales | Family Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Fernando M Batista Morales | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Find all physicians in zip 33548 | |||
| City | LUTZ |
| Zip Code | 33548 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUTZ + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Azeezat O Fashola.
| 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.