Hans R Crevecoeur (NPI# 1851878896, PAC ID# 1759620032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851878896 |
| PAC ID by PECOS | 1759620032 |
| Professional Enrollment ID | I20190304002163 |
| Full Name | Hans R Crevecoeur |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Address |
1155 E 21st St Jacksonville FL 32206-2401 |
| Phone Number | 9043599067 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133025869 |
| Number of Group Practice Members | 575 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1155 E 21st St, Jacksonville, FL 32206-2401 | 9043599067 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| 1833 Boulevard Ave, Jacksonville, FL 32206-4394 | 9043831040 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Physicians | 621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Joseph Bradburn | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Roselyn Perez | Clinical Social Worker | University of Florida Jacksonville Physicians, Inc. | 7645 Merrill Rd, Jacksonville, FL 32277-6573 |
| Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
| Alan M Litwin | Diagnostic Radiology | University of Florida Jacksonville Physicians, Inc. | 4555 Emerson Expressway, Suite 120, Jacksonville, FL 32207-4958 |
| Jekeva Moss | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1833 Boulevard Ave, Jacksonville, FL 32206-4394 |
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Nicole A Kahhan | Clinical Psychologist | University of Florida Jacksonville Physicians, Inc. | 910 N Jefferson St, Jacksonville, FL 32209-6810 |
| Cristina Jorgensen | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5205 Normandy Blvd, Suite 13, Jacksonville, FL 32205-4842 |
| Street Address |
1155 E 21ST ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32206-2401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Ma Glenda Abac Garcia | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Mar Antonio Jaminal | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Cameron Jelks | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Doris Smith | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Aisha M Ladson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Johnnie Bradley-goodman | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zehra A Cumber | Osteopathic Manipulative Medicine | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Royce D Mcgowan | Chiropractic | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Kwame B Jenkins | Chiropractic | Mcgowan Spinal Rehabilitation Center Pa | 3021 Main St N, Jacksonville, FL 32206-2122 |
| Bradford Hoppe | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Kerri L Elfvin | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 2015 N Jefferson St, Uf Proton Therapy Institute, Jacksonville, FL 32206-3531 |
| Ronny L Rotondo | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Daniel J Indelicato | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Julie A Bradley | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Teena Burchianti | Nurse Practitioner | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Randal H Henderson | Radiation Oncology | Florida Proton Therapy Institute Inc | 2015 Jefferson St, Jacksonville, FL 32206-3531 |
| Find all physicians in zip 32206 | |||
| City | JACKSONVILLE |
| Zip Code | 32206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + 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.