Valerie L Hathaway (NPI# 1376545608, PAC ID# 9931123502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376545608 |
| PAC ID by PECOS | 9931123502 |
| Professional Enrollment ID | I20060123000185 |
| Full Name | Valerie L Hathaway |
| Organization Legal Name | PHYSICIANS OF SOUTH FLORIDA, LLC |
| Address |
5952 Clark Ctr Ave Sarasota FL 34238-2715 |
| Phone Number | 9419249955 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941359863 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10268 Via Colomba Cir, Fort Myers, FL 33966-6550 | 9419249955 | PHYSICIANS OF SOUTH FLORIDA, LLC |
| 5952 Clark Ctr Ave, Sarasota, FL 34238-2715 | 9419249955 | PHYSICIANS OF SOUTH FLORIDA, LLC |
| Organization Legal Name | PHYSICIANS OF SOUTH FLORIDA, LLC |
| Physicians | 1 |
| Street Address |
5952 CLARK CTR AVE |
| City | SARASOTA |
| State | FL |
| Zip | 34238-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianna Zelenak | Internal Medicine | 5952 Clark Ctr Ave, Sarasota, FL 34238-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanthi O Prakash | Family Medicine | Sunshine Medical Center LLC | 5937 Beneva Rd, Sarasota, FL 34238-2504 |
| Soordal Oum Prakash | Family Medicine | Sunshine Medical Center LLC | 5937 Beneva Rd, Sarasota, FL 34238-2504 |
| Toya L Crutchfield | Physical Therapy | On The Go Therapy Services Inc | 5968 Clark Ctr Ave, Sarasota, FL 34238-2715 |
| Julie A Blank | Physical Therapy | On The Go Therapy Services Inc | 5968 Clark Ctr Ave, Sarasota, FL 34238-2715 |
| Richard Michael Harmon | Physical Therapy | On The Go Therapy Services Inc | 5968 Clark Ctr Ave, Sarasota, FL 34238-2715 |
| Justine W Demaio | Chiropractic | 7242 Beneva Rd, Sarasota, FL 34238-2806 | |
| Robert Frimmel | Podiatry | Sarasota Foot Care Center Pa | 7246 Beneva Rd, Sarasota, FL 34238-2806 |
| Candice Ann Kepich | Podiatry | Sarasota Foot Care Center Pa | 7246 Beneva Rd, Sarasota, FL 34238-2806 |
| Luciana G Payne | Chiropractic | United Joint and Spine Center LLC | 7242 Beneva Rd, Sarasota, FL 34238-2806 |
| Melissa Ann Kelley | Nurse Practitioner | Gulf Coast Hma Physician Management LLC | 8383 S Tamiami Trl, Unit 115, Sarasota, FL 34238-2901 |
| Find all physicians in zip 34238 | |||
| City | SARASOTA |
| Zip Code | 34238 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SARASOTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Valerie L Hathaway.
| 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.