Tanielle Lamonika Brew (NPI# 1043690894, PAC ID# 4981970605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043690894 |
| PAC ID by PECOS | 4981970605 |
| Professional Enrollment ID | I20180827001847 |
| Full Name | Tanielle Lamonika Brew |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
1760 W Edgewood Ave Suite B Jacksonville FL 32208-7209 |
| Phone Number | 9043588480 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 15510 Max Leggett Pkwy, Suite B, Jacksonville, FL 32218-7200 | 9044508360 | ST VINCENT'S AMBULATORY CARE INC |
| 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 | 9043588480 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Kathryn Melko | Registered Dietitian Or Nutrition Professional | St Vincent's Ambulatory Care Inc | 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4738 |
| Street Address |
1760 W EDGEWOOD AVE SUITE B |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32208-7209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Keith Evans | Physical Medicine and Rehabilitation | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Luther Quarles | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Sheri L Combs | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Jacksonville, FL 32208-7209 |
| Shari Calicker | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Jacksonville, FL 32208-7209 |
| Lashandia King May | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Kevin W Peterson | Family Practice | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald H Auerbach | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Suite 12, Jacksonville, FL 32208-1885 |
| Eric Stewart | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Suite 12, Jacksonville, FL 32208-1885 |
| Christina Helena Feliciano | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Jacksonville, FL 32208-1885 |
| George L Albert | Chiropractic | 9360 Lem Turner Rd, Jacksonville, FL 32208-2200 | |
| Rogers Cain | Family Medicine | 9390 Lem Turner Rd, Suite 1, Jacksonville, FL 32208-2200 | |
| Diandra K Gordon | Podiatry | 1740 Edgewood Ave W, Jacksonville, FL 32208-3260 | |
| Ilona S Fenyo-morales | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Leonard J Herring Iii | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Gretta Elaine Langley | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Anna Gajda | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Find all physicians in zip 32208 | |||
| City | JACKSONVILLE |
| Zip Code | 32208 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tanielle Lamonika Brew.
| 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.