Selena Crandall (NPI# 1043635675, PAC ID# 6709107352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043635675 |
| PAC ID by PECOS | 6709107352 |
| Professional Enrollment ID | I20150608001280 |
| Full Name | Selena Crandall |
| Organization Legal Name | FLORIDA MEDICAL CLINIC, LLC |
| Address |
2020 Town Ctr Blvd Brandon FL 33511-2906 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931003068 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100259 | SOUTH BAY HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 Town Ctr Blvd, Brandon, FL 33511-2906 | FLORIDA MEDICAL CLINIC, LLC | |
| 3860 Sun City Ctr Blvd, Ruskin, FL 33573-6806 | 8136331980 | FLORIDA MEDICAL CLINIC, LLC |
| 3000 E Fletcher Ave, Suite 250, Tampa, FL 33613-4689 | 8139722324 | FLORIDA MEDICAL CLINIC, LLC |
| Organization Legal Name | FLORIDA MEDICAL CLINIC, LLC |
| Physicians | 347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Resham Datta | Pain Management | Florida Medical Clinic, LLC | 36763 Eiland Blvd, Suite 201, Zephyrhills, FL 33542-0601 |
| Denisha D Rodriguez | Nurse Practitioner | Florida Medical Clinic, LLC | 7229 U S Hwy 301 S, Riverview, FL 33578-4346 |
| Sean Michael Lannon | Orthopedic Surgery | Florida Medical Clinic, LLC | 38107 Market Sq, Zephyrhills, FL 33542-7505 |
| Marissa Noelle Johnson | Nurse Practitioner | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Leah Marie Terry | Nurse Practitioner | Florida Medical Clinic, LLC | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 |
| Brettashley Montero | Nurse Practitioner | Florida Medical Clinic, LLC | 12500 N Dale Mabry Hwy, Tampa, FL 33618-2809 |
| Erika Saunders | Nurse Practitioner | Florida Medical Clinic, LLC | 10004 N Dale Mabry Hwy, Suite 101, Tampa, FL 33618-4421 |
| Nereida Jaime | Nurse Practitioner | Florida Medical Clinic, LLC | 6836 Medical View Ln, Zephyrhills, FL 33542-6615 |
| Jacy L Higby | Physician Assistant | Florida Medical Clinic, LLC | 36819 Eiland Blvd, Zephyrhills, FL 33542-7505 |
| Brittany B Wilson | Clinical Social Worker | Florida Medical Clinic, LLC | 2352 Bruce B Downs Blvd, Suite 304, Wesley Chapel, FL 33544-9203 |
| Street Address |
2020 TOWN CTR BLVD |
| City | BRANDON |
| State | FL |
| Zip | 33511-2906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Villa | Nurse Practitioner | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Brandon, FL 33511-2906 |
| Ronald S Hulse Iii | Interventional Cardiology | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Brandon, FL 33511-2906 |
| Karen J Olivero | Physician Assistant | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Brandon, FL 33511-2906 |
| Alicia Grigsby | Nurse Practitioner | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Suite B, Brandon, FL 33511-2906 |
| Afshin Noori | Physician Assistant | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Brandon, FL 33511-2906 |
| Lance Meyerson | Otolaryngology | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Suite B, Brandon, FL 33511-2906 |
| Sailesh Shah | Pulmonary Disease | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Brandon, FL 33511-2906 |
| Shannon M Booth | Qualified Audiologist | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Suite B, Brandon, FL 33511-2906 |
| Kaley Mcnabb | Nurse Practitioner | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Suite D, Brandon, FL 33511-2906 |
| James A Zaccari | Family Medicine | Florida Medical Clinic, LLC | 2020 Town Ctr Blvd, Suite B, Brandon, FL 33511-2906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Jeffrey Scott Mino | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRANDON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Selena Crandall.
| 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.