Latoya Janelle Wilson (NPI# 1255884706, PAC ID# 3274811625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255884706 |
| PAC ID by PECOS | 3274811625 |
| Professional Enrollment ID | I20161105000229 |
| Full Name | Latoya Janelle Wilson |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Address |
5323 Millenia Lakes Blvd Orlando FL 32839-3395 |
| Phone Number | 8669643285 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416170501 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5323 Millenia Lakes Blvd, Orlando, FL 32839-3395 | 8669643285 | LIFE LINE COMMUNITY HEALTHCARE |
| 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3395 | 8669643285 | LIFE LINE COMMUNITY HEALTHCARE |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ciara L Eatmon | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Sharon Lee Morris | Nurse Practitioner | Life Line Community Healthcare | 309 Court Ave, Suite 816, Des Moines, IA 50309-2282 |
| Laura Ann Rogers | Nurse Practitioner | Life Line Community Healthcare | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4800 |
| Marian Anne Ferguson | Nurse Practitioner | Life Line Community Healthcare | 1518 Willow Lawn Dr, Richmond, VA 23230-3419 |
| Wendy Ann Lunny | Nurse Practitioner | Life Line Community Healthcare | 615 W Johnson Ave, Cheshire, CT 06410-4532 |
| Laurie Eastwood Raher | Nurse Practitioner | Life Line Community Healthcare | 7455 Arroyo Crossing Pkwy, Suite 220, Las Vegas, NV 89113-4088 |
| Grace D Ortega-walker | Nurse Practitioner | Life Line Community Healthcare | 109 E 17th St, Suite 4984, Cheyenne, WY 82001-4543 |
| Deirdre Lott | Nurse Practitioner | Life Line Community Healthcare | 406 S Boulder Ave, Suite 400, Tulsa, OK 74103-3800 |
| Shimmy Manoj | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| Bryn Miller | Nurse Practitioner | Life Line Community Healthcare | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131-2589 |
| Street Address |
5323 MILLENIA LAKES BLVD |
| City | ORLANDO |
| State | FL |
| Zip | 32839-3395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eunique Patrica Burgos | Nurse Practitioner | Life Line Community Healthcare | 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3395 |
| Baoanh Chu | Nurse Practitioner | Life Line Community Healthcare | 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3395 |
| Helena Ulukpo | Nurse Practitioner | Life Line Community Healthcare | 5323 Millenia Lakes Blvd, Orlando, FL 32839-3395 |
| Dena J. Christianson | Nurse Practitioner | Life Line Community Healthcare | 5323 Millenia Lakes Blvd, Orlando, FL 32839-3395 |
| Martha Ellen Cousins | Nurse Practitioner | Life Line Community Healthcare | 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Copely | Optometry | 1455 W Holden Ave, Orlando, FL 32839-1702 | |
| Lawrence D Porter | Family Practice | 510 W Holden Ave, Orlando, FL 32839-2051 | |
| Maurice P Yoskin | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 5409 Oak Terrace Dr, Orlando, FL 32839-2083 |
| Josette Salazar | Optometry | 4673 Millenia Plaza Way, Orlando, FL 32839-2433 | |
| Keith Goldstein | Podiatry | 4649 Gardens Park Blvd, Apt 3308, Orlando, FL 32839-2623 | |
| Alfred Dean Vonetes | Psychologist, Clinical | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6015 | |
| Jaseem Ahmed Khan | Internal Medicine | 5308 S John Young Pkwy, Suite 100, Orlando, FL 32839-7362 |
| City | ORLANDO |
| Zip Code | 32839 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ORLANDO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Latoya Janelle Wilson.
| 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.