Petra D Debolt (NPI# 1144570862, PAC ID# 5991958100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144570862 |
| PAC ID by PECOS | 5991958100 |
| Professional Enrollment ID | I20130118000232 |
| Full Name | Petra D Debolt |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
8911 Daniels Pkwy Suite 7 Fort Myers FL 33912-0872 |
| Phone Number | 2399392200 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 | 2399392200 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
8911 DANIELS PKWY SUITE 7 |
| City | FORT MYERS |
| State | FL |
| Zip | 33912-0872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Phifer | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Arlette Martell Muniz | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish G Sharma | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Joseph P Walker | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Nadia Ameena Kazim | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Glenn L Wing | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Christine Lynn Hoch | Chiropractic | 8971 Daniels Ctr Dr, Unit 304, Fort Myers, FL 33912-0310 | |
| Zunia Garcia Padron | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Barbara J Ossorio | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Isaac D Alfaro | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Anand R Mahadevan | Internal Medicine | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Stephanie Mathews | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Find all physicians in zip 33912 | |||
| City | FORT MYERS |
| Zip Code | 33912 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT MYERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Petra D Debolt.
| 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.