MEDICARE: MS. PHOMELLO P CHINHEYA APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	11005583	FL

General Provider Information

NPI Number	:	1205460367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PHOMELLO P CHINHEYA APRN

Provider Business Mailing Address
First Line	:	530 RONSHELLE AVE
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-6399
Country	:	US
Telephone Number	:	407-234-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 DR MARTIN L KING JR WAY
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3490
Country	:	US
Telephone Number	:	863-353-6853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	02/27/2020

Similar Medicare Providers

1639319114 — DR. HAZEL LEE RUFF-JAMES FNP-BC
Practice Location Address:

1205 DR MARTIN L KING JR WAY
HAINES CITY, FL
33844-3490

Practice Phone: 863-353-6853
Practice Fax:

1487968806 — PARKVIEW OUTREACH COMMUNITY CENTER
Practice Location Address:

1205 DR MARTIN L KING JR WAY
HAINES CITY, FL
33844-3490

Practice Phone: 863-353-6853
Practice Fax: 863-438-2752

1912595745 — MISS JOYCE OJEJE-ISAGBA APRN
Practice Location Address:

1205 DR MARTIN L KING JR WAY
HAINES CITY, FL
33844-3490

Practice Phone: 352-446-6315
Practice Fax:

1689543332 — MS. KARIN JURKOVICOVA
Practice Location Address:

1205 DR MARTIN L KING JR WAY
HAINES CITY, FL
33844-3490

Practice Phone: 863-438-2752
Practice Fax:

1407953532 — MRS. NAOMI H SHIEH M.D.
Practice Location Address:

1215 PLUMAS STREET , SUITE 1200
YUBA CITY, CA
95991-3490

Practice Phone: 530-671-6148
Practice Fax: 530-671-6432

1336394931 — MR. JAIME LOPEZ PT
Practice Location Address:

3490 NORTH RIDGE RD. , SUITE 290
ELLICOTT CITY, MD
21043

Practice Phone: 410-750-9006
Practice Fax:

Directions to “ MS. PHOMELLO P CHINHEYA APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.