Yvonne Derickson (NPI# 1003341280, PAC ID# 3476789173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1003341280 |
PAC ID by PECOS | 3476789173 |
Professional Enrollment ID | I20170614000034 |
Full Name | Yvonne Derickson |
Organization Legal Name | FLORIDA PAIN RELIEF GROUP PLLC |
Address |
11705 San Jose Blvd Suite 110 Jacksonville FL 32223-1653 |
Phone Number | 9042922700 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4688960271 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 | 9042922700 | FLORIDA PAIN RELIEF GROUP PLLC |
3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 | 8138786850 | FLORIDA PAIN RELIEF GROUP PLLC |
Organization Legal Name | FLORIDA PAIN RELIEF GROUP PLLC |
Physicians | 37 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexis Leigh Kozich | Nurse Practitioner | Florida Pain Relief Group Pllc | 1110 Nikki View Dr, Brandon, FL 33511-4868 |
Heidi Mattison | Nurse Practitioner | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
Neil J Ellis | Interventional Pain Management | Florida Pain Relief Group Pllc | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7165 |
Keith Girton | Pain Management | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
Nioma M. Brown | Nurse Practitioner | Florida Pain Relief Group Pllc | 3622 Madaca Ln, Tampa, FL 33618-2057 |
Jorge J Leal | Pain Management | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
Kristopher L Gates | Nurse Practitioner | Florida Pain Relief Group Pllc | 4728 N Habana Ave, Suite 202, Tampa, FL 33614-7147 |
Lesco L Rogers | Pain Management | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
Shanisha Alonna Brown | Nurse Practitioner | Florida Pain Relief Group Pllc | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7165 |
Michael J Lupi | Pain Management | Florida Pain Relief Group Pllc | 11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 |
Street Address |
11705 SAN JOSE BLVD SUITE 110 |
City | JACKSONVILLE |
State | FL |
Zip | 32223-1653 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley Lee | Nurse Practitioner | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
Kathleen Joan Sawaya | Qualified Audiologist | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
Jason D Meier | Otolaryngology | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
Michael J Lupi | Pain Management | Florida Pain Relief Group Pllc | 11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 |
Saswata Roy | Otolaryngology | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
Mary J Schuh | Qualified Audiologist | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
Name | Specialty | Organization | Address |
---|---|---|---|
James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
Mitzi C Brock | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
Find all physicians in zip 32223 |
City | JACKSONVILLE |
Zip Code | 32223 |
Specialty | NURSE PRACTITIONER |
City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Yvonne Derickson.
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.