Khamphou Manivanh Mosley
ST LUCIE MEDICAL SPECIALISTS LLC


Address: 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900
Phone: 8634672159

Khamphou Manivanh Mosley (NPI# 1093205049, PAC ID# 2668723842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1093205049
PAC ID by PECOS 2668723842
Professional Enrollment ID I20190614000402
Full Name Khamphou Manivanh Mosley
Organization Legal Name ST LUCIE MEDICAL SPECIALISTS LLC
Address 1713 Us Hwy 441 N
Suite C
Okeechobee
FL 34972-1900
Phone Number 8634672159
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1456430487
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 8634672159 ST LUCIE MEDICAL SPECIALISTS LLC

Organization Information

Organization Legal Name ST LUCIE MEDICAL SPECIALISTS LLC
Physicians 40

Physicians with the same organization

Name Specialty Organization Address
Ahmet Bahadir Ergin Internal Medicine St Lucie Medical Specialists LLC 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539
Anthony K Maharaj Physician Assistant St Lucie Medical Specialists LLC 3425 S Highlands Ave, Sebring, FL 33870-5408
Edward K Kankam Family Medicine St Lucie Medical Specialists LLC 293 Nw Peacock Blvd, Suite 101 104, Port Saint Lucie, FL 34986-2222
Kwabena K Pobi Urology St Lucie Medical Specialists LLC 2341 Us Hwy 27 S, Sebring, FL 33870-4926
Robert A Midence Internal Medicine St Lucie Medical Specialists LLC 3700 Emergency Ln, Sebring, FL 33870-5536
Tahir S Chaudhri Orthopedic Surgery St Lucie Medical Specialists LLC 3427 S Highlands Ave, Sebring, FL 33870-5408
Charles Azan Pediatric Medicine St Lucie Medical Specialists LLC 140 Sw Chamber Ct, Suite 100, Port St Lucie, FL 34986-3414
Oral A Waldo Cardiovascular Disease (cardiology) St Lucie Medical Specialists LLC 1700 S 23rd St, Fort Pierce, FL 34950-4803
Pablo H Tirado Family Medicine St Lucie Medical Specialists LLC 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539
Mariana Giron Family Medicine St Lucie Medical Specialists LLC 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539

Office Location

Street Address 1713 US HWY 441 N
SUITE C
City OKEECHOBEE
State FL
Zip 34972-1900

Physicians in the same location

Name Specialty Organization Address
Carlos Alejo General Surgery Palm Beach General Surgery LLC 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900
Christopher J Mavroides Internal Medicine 1713 Us Hwy 441 N, Suite A, Okeechobee, FL 34972-1900
Codi Craig Physician Assistant Palm Beach General Surgery LLC 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900

Physicians in the same zip code

Name Specialty Organization Address
Jay S Berger Internal Medicine Jay S Berger Md Pa 1713 Hwy 441 N, Okeechobee, FL 34972
Nancy Lynn Saunders Nurse Practitioner Jay S Berger Md Pa 1713 Hwy 441 N, Suite D, Okeechobee, FL 34972
Leland M Heller Family Medicine 1713 Hwy 441 N, Suite E, Okeechobee, FL 34972-1900
Denise Ricketts Family Medicine St Lucie Medical Specialists LLC 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900
James E Bradfield Obstetrics/gynecology Raulerson Gyn LLC 1713 Hwy 441 N, Suite F, Okeechobee, FL 34972-1900
Audreylyn Waldo Nurse Practitioner St Lucie Medical Specialists LLC 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900
Manuel G Garcia General Surgery Gateway Medical Group Lc 306 Ne 19th Dr, Okeechobee, FL 34972-1911
Miguel Atillo Espiritu Ophthalmology 304 Ne 19th Dr, Okeechobee, FL 34972-1911
A Susan Nelson Nurse Practitioner 1646 Us Hwy 441 N, Okeechobee, FL 34972-1916
Simeon Usifo Osemota Family Medicine Big Water Emergency Physicians, LLC 1796 Hwy 441 N, Okeechobee, FL 34972-1918
Find all physicians in zip 34972

Competitor

Search similar physicians

City OKEECHOBEE
Zip Code 34972
Specialty NURSE PRACTITIONER
City + Specialty OKEECHOBEE + NURSE PRACTITIONER

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Dataset Information

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.

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