Mary Ann Davidson (NPI# 1114193786, PAC ID# 3274605050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114193786 |
| PAC ID by PECOS | 3274605050 |
| Professional Enrollment ID | I20180222001015 |
| Full Name | Mary Ann Davidson |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Address |
275 W Cocoa Beach Aswy Cocoa Beach FL 32931-3529 |
| Phone Number | 3217517222 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052418837 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100028 | PARRISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 | 3217517222 | MEDFAST URGENT CARE CENTERS LLC |
| 7925 N Wickham Rd, Suite A, Melbourne, FL 32940-8299 | 3217517222 | MEDFAST URGENT CARE CENTERS LLC |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholle C Rothengass | Physician Assistant | Medfast Urgent Care Centers LLC | 3045 Columbia Blvd, Suite A108, Titusville, FL 32780-7864 |
| Wayne E Hall | Physician Assistant | Medfast Urgent Care Centers LLC | 1000 S Ridgewood Ave, Edgewater, FL 32132-2333 |
| Sherri Enders | Nurse Practitioner | Medfast Urgent Care Centers LLC | 206 E New Haven Ave, Melbourne, FL 32901-4504 |
| Darren M Mayer | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Currin Nichol | Family Medicine | Medfast Urgent Care Centers LLC | 7925 N Wickham Rd, Suite A, Melbourne, FL 32940-8299 |
| Melinda A Cobb | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Richard M Bost | Emergency Medicine | Medfast Urgent Care Centers LLC | 5005 Port St John Pkwy, Port St John, FL 32927-4305 |
| Manuel D Gonzalez | Nurse Practitioner | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Candice Maria Vaknin | Nurse Practitioner | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| Street Address |
275 W COCOA BEACH ASWY |
| City | COCOA BEACH |
| State | FL |
| Zip | 32931-3529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice Maria Vaknin | Nurse Practitioner | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| Marc Richard Wilhelm | Nurse Practitioner | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| David A Richter | Family Medicine | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Taylor | Dermatology | Florida Dermatology Associates Inc | 80 Woodland Ave, Cocoa Beach, FL 32931-2854 |
| Lauren E Romeo | Undersea and Hyperbaric Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | |
| Joseph Llinas | Psychiatry | 465 Minutemen Cswy, Suite 485, Cocoa Beach, FL 32931-2881 | |
| Santiago M Leyte-vidal Jr. | Internal Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | |
| Teresa S Fagan | Internal Medicine | Sunshine Healthcare Solutions Inc | 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 |
| Steven Alukonis | Chiropractic | 299 N Orlando Ave A, Cocoa Beach, FL 32931-2916 | |
| Janaina Strater | Chiropractic | Joseph J Strater Dc LLC | 309 N Orlando Ave, Cocoa Beach, FL 32931-2918 |
| Joseph Strater | Chiropractic | Joseph J Strater Dc LLC | 309 N Orlando Ave, Cocoa Beach, FL 32931-2918 |
| Daniel L Sickels | Chiropractic | 503 N Orlando Ave, Suite 105, Cocoa Beach, FL 32931-3171 | |
| Orland Kay Armstrong Iii | Chiropractic | 1401 N Atlantic Ave, Cocoa Beach, FL 32931-3204 | |
| Find all physicians in zip 32931 | |||
| City | COCOA BEACH |
| Zip Code | 32931 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COCOA BEACH + 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.