Grace Salagala (NPI# 1467093203, PAC ID# 9830421155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467093203 |
| PAC ID by PECOS | 9830421155 |
| Professional Enrollment ID | I20191105002877 |
| Full Name | Grace Salagala |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
1659 Us Hwy 27 N Suite 102 Avon Park FL 33825-2103 |
| Phone Number | 8636570710 |
| Gender | F |
| Graduation Year | 2019 |
| 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 |
|---|---|
| 100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103 | 8636570710 | 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 |
1659 US HWY 27 N SUITE 102 |
| City | AVON PARK |
| State | FL |
| Zip | 33825-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sasha Arbona | Nurse Practitioner | Millennium Physician Group LLC | 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103 |
| Sunaina Khurana | Family Medicine | Millennium Physician Group LLC | 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103 |
| Alda Marie Guerrier | Nurse Practitioner | Millennium Physician Group LLC | 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Bourjolly | Optometry | Anthony Schaffer Od Mba Pl | 1041 Us Hwy 27 N, Avon Park, FL 33825 |
| Marisol Caraballo | Nurse Practitioner | Highlands Advanced Rheumatology and Arthritis Center Pl | 596 Us 27, Highlands Adv Rheumatology and Arthritis Center Pl, Avon Park, FL 33825 |
| David J Marinock Jr. | Chiropractic | W. Patrick Danzey, D.c.p.a. | 1590 Us 27, Avon Park, FL 33825-2151 |
| William P. Danzey | Chiropractic | W. Patrick Danzey, D.c.p.a. | 1590 Us 27, Avon Park, FL 33825-2151 |
| David A Boersma | Chiropractic | W. Patrick Danzey, D.c.p.a. | 1590 Us 27, Avon Park, FL 33825-2151 |
| Rebecca Nicole Thomas | Family Medicine | Central Florida Health Care Inc | 950 County Rd 17a, Avon Park, FL 33825-2164 |
| Syed Habeeb Qadri | Obstetrics/gynecology | Central Florida Health Care Inc | 950 County Rd 17a, Avon Park, FL 33825-2164 |
| Vladimir Senatorov | Preventative Medicine | Central Florida Health Care Inc | 950 County Rd 17a, Avon Park, FL 33825-2164 |
| Kimber Vasquez | General Practice | Central Florida Health Care Inc | 950 County Rd 17a, Avon Park, FL 33825-2164 |
| Elizabeth Rauch | Nurse Practitioner | Central Florida Health Care Inc | 950 County Rd 17a, Avon Park, FL 33825-2164 |
| Find all physicians in zip 33825 | |||
| City | AVON PARK |
| Zip Code | 33825 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AVON PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Grace Salagala.
| 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.