Cory B Lord (NPI# 1619007002, PAC ID# 5193820769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619007002 |
| PAC ID by PECOS | 5193820769 |
| Professional Enrollment ID | I20070411000053 |
| Full Name | Cory B Lord |
| Organization Legal Name | MOBILE PHYSICIANS TEAM, LLC |
| Address |
1225 Havendale Blvd Nw Winter Haven FL 33881-1349 |
| Phone Number | 8632986717 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345585261 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1225 Havendale Blvd Nw, Winter Haven, FL 33881-1349 | 8632986717 | MOBILE PHYSICIANS TEAM, LLC |
| Organization Legal Name | MOBILE PHYSICIANS TEAM, LLC |
| Physicians | 1 |
| Street Address |
1225 HAVENDALE BLVD NW |
| City | WINTER HAVEN |
| State | FL |
| Zip | 33881-1349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Louise Lockwood | Nurse Practitioner | Physicians Housecall Team, LLC | 1225 Havendale Nwblvd, Winter Haven, FL 33881-1393 |
| Rodolfo S Fernandez | Internal Medicine | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Huey Metts | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Suzanne M Victorine | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Kelly Leigh Love | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven, FL 33881-2476 |
| Robert M Merritt | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Elizabeth P Sundean | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| George D Lyle | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Joseph J Bradfield | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Patricia K Dawson | Qualified Audiologist | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Find all physicians in zip 33881 | |||
| City | WINTER HAVEN |
| Zip Code | 33881 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WINTER HAVEN + 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.