Jillian N Mauriello (NPI# 1144628553, PAC ID# 2860700325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144628553 |
| PAC ID by PECOS | 2860700325 |
| Professional Enrollment ID | I20160119002185 |
| Full Name | Jillian N Mauriello |
| Organization Legal Name | OPES HEALTH CHANNELSIDE LLC |
| Address |
111 N 12th St Suite 1105 Tampa FL 33602-3661 |
| Phone Number | 8139066737 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971804048 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 111 N 12th St, Suite 1105, Tampa, FL 33602-3661 | 8139066737 | OPES HEALTH CHANNELSIDE LLC |
| Organization Legal Name | OPES HEALTH CHANNELSIDE LLC |
| Physicians | 1 |
| Street Address |
111 N 12TH ST SUITE 1105 |
| City | TAMPA |
| State | FL |
| Zip | 33602-3661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Damaso Cruz | Internal Medicine | 111 N 12th St, Suite 1105, Tampa, FL 33602-3661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Daly | Clinical Social Worker | 1016 W Charter St, Tampa, FL 33602-1002 | |
| Roberto V Dominguez | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Paul B Kornberg | Psychiatry | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Venerando I Batas | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Daniel Greenwald | Plastic and Reconstructive Surgery | 1208 E Kennedy Blvd, Suite 221, Tampa, FL 33602-3509 | |
| Julie A Hurst | Nurse Practitioner | Florida Department of Health | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 |
| Daryl T Garrett | Nurse Practitioner | Florida Department of Health | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 |
| Charurut Somboonwit | Infectious Disease | Florida Department of Health | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 |
| Wanida Walker | Nurse Practitioner | Florida Department of Health | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 |
| Sandra L Stutzman | Nurse Practitioner | Florida Department of Health | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 |
| Find all physicians in zip 33602 | |||
| City | TAMPA |
| Zip Code | 33602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAMPA + 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.