Corrinna Julian Oakley-lisle (NPI# 1952346058, PAC ID# 8224080783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952346058 |
| PAC ID by PECOS | 8224080783 |
| Professional Enrollment ID | I20050214000413 |
| Full Name | Corrinna Julian Oakley-lisle |
| Organization Legal Name | METCARE OF FLORIDA |
| Address |
420 S Nova Rd Suite 4 and 5 Ormond Beach FL 32174-0411 |
| Phone Number | 3865060111 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739265141 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100118 | FLORIDA HOSPITAL FLAGLER |
| Address | Phone | Organization |
|---|---|---|
| 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 | 3865060111 | METCARE OF FLORIDA |
| 420 S Nova Rd, Ormond Beach, FL 32174-0411 | 3865060111 | METCARE OF FLORIDA |
| Organization Legal Name | METCARE OF FLORIDA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Kast | Internal Medicine | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Mercedes Garrido | Family Practice | Metcare of Florida | 21 Hospital Dr, Palm Coast, FL 32164-2455 |
| Mary Jane Venzon | Nurse Practitioner | Metcare of Florida | 3641 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Ann M Gaffka | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Yana Gofman | Internal Medicine | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Gerald Leichman | Family Practice | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Street Address |
420 S NOVA RD SUITE 4 AND 5 |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32174-0411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Therese A Ibrahim | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Zaw Myint | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Teresa Ann Bowers | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Brian Hockensmith | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Maria Gontcharova | Internal Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Ann M Gaffka | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Van Ost | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Douglas Brian Hill | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Michael L Hill | Chiropractic | 298 S Nova Rd, Suite E, Ormond Beach, FL 32174-0412 | |
| Sarah Letitia Hill | Chiropractic | Hill Family Chiropractic | 298 S Nova Rd, Suite E, Ormond Beach, FL 32174-0412 |
| Jennifer L Young | Physical Therapy | Barr and Associates Physical Therapy, LLC | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1136 |
| Richard A Jablonski | Ophthalmology | 1425 Hand Ave A, Ormond Beach, FL 32174-1136 | |
| Jay A Keesling | Optometry | 1425 Hand Ave, A, Ormond Beach, FL 32174-1136 | |
| Jacob C Barr | Physical Therapy | Barr and Associates Physical Therapy, LLC | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1136 |
| John R Chewning | General Practice | John R Chewning Do Pa | 1425 Hand Ave, Suite L, Ormond Beach, FL 32174-1136 |
| Lashanda L Lovett | Physical Therapy | Barr and Associates Physical Therapy, LLC | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1136 |
| Find all physicians in zip 32174 | |||
| City | ORMOND BEACH |
| Zip Code | 32174 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORMOND BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Corrinna Julian Oakley-lisle.
| 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.