1629276613

Everything you always wanted to know about POAGE GORDON ELLEN ARNP but were afraid to ask.

POAGE GORDON ELLEN ARNP

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
POAGE GORDON ELLEN ARNP
Gender:
Female
Enumeration date:
2007-07-11
Last update date:
2016-12-14
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
398633 Other AVMED FL
P959926 Other OPTIMUM FL
P999557 Other FREEDOM FL
P01279998 Other RAILROAD MCR FL
5034309 Other AETNA FL
Y4971 Other BCBS OF FL FL
1235753 Other WELLCARE FL
AG192X Medicare PIN none FL

Taxonomies

Taxonomy State License Number Primary?
363LF0000X Family FL ARNP1812112 N
363L00000X Nurse Practitioner FL ARNP1812112 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2399317342
Mailing Address Fax Number 2399317385
Practice Location Address Telephone Number 2392770919
Practice Location Address Fax Number 2394154960

Addresses

Type Address City State Postal Country
Mailing Address 2234 COLONIAL BLVD SUITE 60 FORT MYERS FL 33907 FL
Practice Location Address 8660 COLLEGE PKWY ATTN: PAYER CONTRACTING & RELATIONS FORT MYERS FL 33919 FL

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1002 S OLD DIXIE HWY FL JUPITER
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41 S COLUMBUS AVE PA LITTLESTOWN
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1 S SCHOOL AVE FL SARASOTA
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7503 GREENWAY CENTER DR MD GREENBELT
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310 HARTNELL AVE CA REDDING
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9980 CENTRAL PARK BLVD N FL BOCA RATON
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7751 BAYMEADOWS RD E FL JACKSONVILLE
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7341 GLADIOLUS DR FL FORT MYERS
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3410 TAMIAMI TRL FL PORT CHARLOTTE
1043532773 SEPULVEDA, MARIA
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1951 SW 172ND AVE FL MIRAMAR
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39 BARKLEY CIR FL FORT MYERS
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200 3RD AVE W FL BRADENTON
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507 DEL PRADO BOULEVARD FL CAPE CORAL
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70 FULTON ST MI PONTIAC
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28930 TRAILS EDGE BLVD FL BONITA SPRINGS
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8931 COLONIAL CENTER DR FL FORT MYERS
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445 BILTMORE AVE NC ASHEVILLE
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1026 MAR WALT DR FL FORT WALTON BEACH
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1 SOUTH SCHOOL AVE FL SARASOTA
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4571 COLONIAL BLVD FL FORT MYERS
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7335 GLADIOLUS DR FL FORT MYERS
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1235 SAN MARCO BLVD FL JACKSONVILLE
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16420 HEALTHPARK COMMONS DR FL FORT MYERS
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51 HADDONFIELD RD NJ CHERRY HILL
1215913975 HARRIS, DAVID
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3210 FRUITVILLE RD FL SARASOTA
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7335 GLADIOLUS DRIVE FL FT MYERS
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3319 S STATE ROAD 7 FL WELLINGTON
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507 DEL PRADO BLVD S FL CAPE CORAL
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28930 TRAILS EDGE BLVD FL BONITA SPRINGS
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1201 N OLIVE AVE FL WEST PALM BEACH
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990 TAMIAMI TRL N FL NAPLES
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7421 N UNIVERSITY DR FL TAMARAC
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1235244807 STEIN, MARVIN
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5800 COLONIAL DRIVE FL MARGATE
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955 10TH AVE N FL NAPLES
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9750 NW 33RD ST FL CORAL SPRINGS
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4685 S CONGRESS AVE FL LAKE WORTH
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580 BLACK RIVER RD SC GEORGETOWN
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1200 BRASS MILL RD MD BELCAMP
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13770 PLANTATION RD FL FORT MYERS
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58295 29 PALMS HWY CA YUCCA VALLEY
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7335 GLADIOLUS DR FL FORT MYERS
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21260 OLEAN BLVD FL PORT CHARLOTTE
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823 82ND PKWY SC MYRTLE BEACH
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7451 GLADIOLUS DR FL FORT MYERS
1265537021 POLANDO, FREDERICK
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580 BLACK RIVER RD SC GEORGETOWN
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1265651061 KAPLON, DANIEL
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1921 WALDEMERE ST FL SARASOTA
1275537755 AMOS, WARREN
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1026 MAR WALT DR FL FORT WALTON BEACH
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1411 N FLAGLER DR FL WEST PALM BEACH
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4571 COLONIAL BLVD FL FORT MYERS
1275955981 KAUFMAN, ARIEL
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2140 W 68TH ST FL HIALEAH
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314 FRANKLIN AVE MD BERLIN
1285676189 LUKE, STEVEN
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207 QUAKER LN RI WEST WARWICK
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50 MAUDE ST RI PROVIDENCE
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842 SUNSET LAKE BLVD FL VENICE
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13770 PLANTATION RD FL FORT MYERS
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16400 HEALTHPARK COMMONS DR FL FORT MYERS
1295094332 MICHAEL J KATIN MD PC
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501 S RANCHO DR NV LAS VEGAS
1295700573 BOYD, LEE
Individual
7451 GLADIOLUS DR FL FORT MYERS
1295703346 MICHAEL J KATIN M D PROF CORP
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1176 VEGAS VALLEY DR NV LAS VEGAS
1295706109 DRAGUN, JOANNE
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7751 BAYMEADOWS RD E FL JACKSONVILLE
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580 BLACK RIVER RD SC GEORGETOWN
1295786093 RIVERA, ROLANDO
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28930 TRAILS EDGE BLVD FL BONITA SPRINGS
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200 3RD AVE W FL BRADENTON
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310 HARTNELL AVE CA REDDING
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3343 STATE ROAD 7 FL WELLINGTON
1306182555 OTTE, SONIA
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1951 SW 172ND AVE FL MIRAMAR
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914B MAR WALT DR FL FORT WALTON BEACH
1306274063 MONZONE, MARK
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4571 COLONIAL BLVD FL FORT MYERS
1306818083 BASHEIN, HAL
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2051 45TH ST FL WEST PALM BEACH
1306826961 RADIATION THERAPY ASSOCIATES O
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445 BILTMORE AVE NC ASHEVILLE
1306827613 BIR, MARK
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820 GOODLETTE RD N FL NAPLES
1306831516 CARLSEN, GREGORY
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204 S 2ND ST KY DANVILLE
1306843370 ORR, JAMES
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8931 COLONIAL CENTER DR FL FORT MYERS
1306940887 SHASHA, ITZHAK
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842 SUNSET LAKE BLVD FL VENICE
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21110 BISCAYNE BLVD FL AVENTURA
1316180847 JANSEN, ROBERT
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823 82ND PKWY SC MYRTLE BEACH
1316272511 PETERS, WILLIAM
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1551 S 14TH ST FL AMELIA ISLAND
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7421 N UNIVERSITY DR FL TAMARAC
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7751 BAYMEADOWS RD E FL JACKSONVILLE
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2780 CLEVELAND AVE FL FORT MYERS
1326046947 RODRIGUEZ-PINERO, FELIX
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2623 S SEACREST BLVD FL BOYNTON BEACH
1326079427 LIEBERT, CARL
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820 GOODLETTE RD N FL NAPLES
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7341 GLADIOLUS DR FL FORT MYERS
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17070 COLLINS AVE FL SUNNY ISLES BEACH
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10335 N MILITARY TRL FL PALM BEACH GARDENS
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55 SAYLES STREET MA SOUTHBRIDGE
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550 TWIN CITIES BLVD FL NICEVILLE
1336552132 BONSAVER, MICHAEL
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1876 E SABIN DR AZ CASA GRANDE
1346240306 WILLIAMS, TODD
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4708 OLEANDER DR SC MYRTLE BEACH
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Individual
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Organization
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Organization
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