Susan Lucille Manifold (NPI# 1396774121, PAC ID# 4981690666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396774121 |
| PAC ID by PECOS | 4981690666 |
| Professional Enrollment ID | I20161227001264 |
| Full Name | Susan Lucille Manifold |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES PA |
| Address |
300 Lake Ne Ave Largo FL 33771-1691 |
| Phone Number | 7272320644 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1982 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688685654 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Lake Ne Ave, Largo, FL 33771-1691 | 7272320644 | MOBILE PHYSICIAN SERVICES PA |
| 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 | 7272320644 | MOBILE PHYSICIAN SERVICES PA |
| 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 7272320644 | MOBILE PHYSICIAN SERVICES PA |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Pinsky | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Pamela L June | Clinical Psychologist | Mobile Physician Services Pa | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Derek R Nelson | Physician Assistant | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Nikole Renae Dodge | Physician Assistant | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Anne Marle Thompson | Nurse Practitioner | Mobile Physician Services Pa | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Glenda F Williams | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Nicole P Deboskey | Nurse Practitioner | Mobile Physician Services Pa | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Richard Joseph Campanile | General Practice | Mobile Physician Services Pa | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Street Address |
300 LAKE NE AVE |
| City | LARGO |
| State | FL |
| Zip | 33771-1691 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Jonathan Thomas Dismuke | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melanie F Makar | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Anthony S Casinger | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melissa Gail Cole | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Sims Tisdale | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Adriana Smith | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Kenneth Phillip Additon | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| William T Trabulsi | Podiatry | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Richard M Wacksman | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Jennifer Danielle Quinn | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Shirley Freckleton-williams | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Scott Edward Wilson | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Samuel A Pettina | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Sherry A Marsden | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Find all physicians in zip 33771 | |||
| City | LARGO |
| Zip Code | 33771 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LARGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan Lucille Manifold.
| 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.