Ellen L Larusso (NPI# 1427263383, PAC ID# 5799861183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427263383 |
| PAC ID by PECOS | 5799861183 |
| Professional Enrollment ID | I20181127001636 |
| Full Name | Ellen L Larusso |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Address |
3001 W Dr Mlk Jr Blvd Tampa FL 33607-6387 |
| Phone Number | 8135548935 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991604852 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 | 8135548935 | NAUTILUS HEALTH CARE GROUP LLC |
| 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 | 7278675480 | NAUTILUS HEALTH CARE GROUP LLC |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Amanda Dunn | Nurse Practitioner | Nautilus Health Care Group LLC | 250 2nd St E, Suite 4e, Bradenton, FL 34208-1028 |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Gary Anthony Gallo | Orthopedic Surgery | Nautilus Health Care Group LLC | 8340 Collier Blvd, Suite 302, Naples, FL 34114-3626 |
| Adelor Zamora | Internal Medicine | Nautilus Health Care Group LLC | 10300 4th St N, St Petersburg, FL 33716-3810 |
| Robyn M Ache | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| Kristin L Eversole | Nurse Practitioner | Nautilus Health Care Group LLC | 210 21st Ave W, Bradenton, FL 34205-8336 |
| Petra Elke Townsend | Family Medicine | Nautilus Health Care Group LLC | 3951 Nw 48th Ter, Suite 211, Gainesville, FL 32606-7230 |
| Keron A Ferguson | Family Medicine | Nautilus Health Care Group LLC | 715 W State Rd, Suite 434, Longwood, FL 32750-4937 |
| Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Charleen L Ise | Family Medicine | Nautilus Health Care Group LLC | 7000 4th St N, Bayfront Wound Care and Hyperbaric, St Petersburg, FL 33702-5903 |
| Street Address |
3001 W DR MLK JR BLVD |
| City | TAMPA |
| State | FL |
| Zip | 33607-6387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura Elizabeth Buete | Preventative Medicine | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Debra K Sapaugh | Nurse Practitioner | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Robyn Jaye Stowell | Nurse Practitioner | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Jeffrey N Moore | Physical Medicine and Rehabilitation | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Javad Malek | Cardiovascular Disease (cardiology) | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam J Siegel | Podiatry | All Podiatry Group Inc | 2511 W Martin L King Blvd, Tampa, FL 33607 |
| Jill Hechtman | Obstetrics/gynecology | Tampa Obstetrics, P.a. | 2550 W Mlk Jr Blvd, Suite C, Tampa, FL 33607 |
| Michael Zuri | Podiatry | All Podiatry Group Inc | 2511 W Martin L King Blvd, Tampa, FL 33607 |
| Joel M Levy | Podiatry | All Podiatry Group Inc | 2511 W Martin L King Blvd, Tampa, FL 33607 |
| Nicholas J St Hilaire | Chiropractic | 4015 N Armenia Ave, Tampa, FL 33607-1001 | |
| Matthew U Brecher | Chiropractic | 4015 N Armenia Ave, Suite 104, Tampa, FL 33607-1001 | |
| Julie N Conard | Nurse Practitioner | Laser Spine Institute LLC | 5332 Avion Park Dr, Tampa, FL 33607-1412 |
| Teena Lukose | Physician Assistant | Laser Spine Institute LLC | 5332 Avion Park Dr, Tampa, FL 33607-1412 |
| Meghan Cataldi | Nurse Practitioner | Laser Spine Institute LLC | 5332 Avion Park Dr, Tampa, FL 33607-1412 |
| Jill H Curren | Nurse Practitioner | Laser Spine Institute LLC | 5332 Avion Park Dr, Tampa, FL 33607-1412 |
| Find all physicians in zip 33607 | |||
| City | TAMPA |
| Zip Code | 33607 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAMPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ellen L Larusso.
| 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.