Marissa Noelle Johnson (NPI# 1073081345, PAC ID# 7012240203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073081345 |
| PAC ID by PECOS | 7012240203 |
| Professional Enrollment ID | I20190603001284 |
| Full Name | Marissa Noelle Johnson |
| Organization Legal Name | FLORIDA MEDICAL CLINIC, LLC |
| Address |
13417 Us Hwy 301 Dade City FL 33525-5446 |
| Phone Number | 8137150374 |
| Gender | F |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931003068 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13417 Us Hwy 301, Dade City, FL 33525-5446 | 8137150374 | 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 |
| 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 |
| Kelsey L Kline | Optometry | Florida Medical Clinic, LLC | 38101 Market Sq, Zephyrhills, FL 33542-7505 |
| Street Address |
13417 US HWY 301 |
| City | DADE CITY |
| State | FL |
| Zip | 33525-5446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Finnerty | Family Medicine | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Felicia Ann Seal | Clinical Social Worker | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Joan Heitzler | Nurse Practitioner | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Danielle Williamson | Nurse Practitioner | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Anthony Esposito | Family Medicine | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Parag V Pitroda | Internal Medicine | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Susan J Gibbs | Nurse Practitioner | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Mazen A Abboud | Podiatry | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Camille Anise | Family Medicine | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Matthew C Brice | Physician Assistant | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy T Lekarczyk | Psychologist, Clinical | 38104 Meridian Ave, Dade City, FL 33525-3838 | |
| Janice Dagmar Quinones-bravo | General Practice | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Glaiza A Lanuza | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Shelly L Gerlach | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Judith A Jennings | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Maria Villa | Obstetrics/gynecology | Florida Hospital Zephyrhills Inc | 37740 Meridian Ave, Dade City, FL 33525-4221 |
| Kim Marie Conklin | Physical Therapy | 38051 Pasco Ave, Dade City, FL 33525-4234 | |
| Richard Joseph Mcloy | Speech Language Pathologist | Welch and Mcloy Therapy Services Pa | 38051 Pasco Ave, Dade City, FL 33525-4234 |
| Wilma A Dasouza | Family Medicine | Premier Community Healthcare Group Inc | 14027 5th St, Dade City, FL 33525-4302 |
| Michelle Villar-diaz | Obstetrics/gynecology | Premier Community Healthcare Group Inc | 14027 5th St, Dade City, FL 33525-4302 |
| Find all physicians in zip 33525 | |||
| City | DADE CITY |
| Zip Code | 33525 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DADE CITY + 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.