MEDICARE: NURSE PRACTITIONER ON THE GO

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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679125926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE PRACTITIONER ON THE GO

Provider Business Mailing Address
First Line	:	13014 N DALE MABRY HWY STE 186
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2808
Country	:	US
Telephone Number	:	813-444-3201
Fax Number	:	813-436-5294

Provider Business Practice Location Address
First Line	:	16411 OAKMANOR DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1234
Country	:	US
Telephone Number	:	813-444-3201
Fax Number	:	813-436-5294

Authorized Official
Title or Position	:	OWNER
Name	:	JERILYN J BOTWINIK
Credential	:	APRN
Telephone Number	:	813-444-3201

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	01/21/2026

Similar Medicare Providers

1427005669 — JERILYN J BOTWINIK APRN
Practice Location Address:

16411 OAKMANOR DR
TAMPA, FL
33624-1234

Practice Phone: 813-444-3201
Practice Fax: 813-436-5294

1720145824 — MS. SUSAN CAROLYN MULLINS LMHC
Practice Location Address:

2106 W CASS ST
TAMPA, FL
33606-1234

Practice Phone: 813-205-4900
Practice Fax:

1316487069 — 'OHANA HOLISTIC PRACTICE
Practice Location Address:

7808 MARBELLA CREEK AVE
TAMPA, FL
33615-1234

Practice Phone: 813-352-8501
Practice Fax:

1174328322 — MELISSA D RODRIGUEZ CRUZ
Practice Location Address:

3021 W TAMPA BAY BLVD BAY
TAMPA, FL
33607-1234

Practice Phone: 813-409-0390
Practice Fax:

1962382747 — PRECISION INFUSION, PLLC
Practice Location Address:

1050 WATER ST UNIT 1234
TAMPA, FL
33602-5512

Practice Phone: 813-810-5578
Practice Fax:

1538039888 — PRECISION INFUSION, PLLC
Practice Location Address:

1050 WATER ST UNIT 1234
TAMPA, FL
33602-5512

Practice Phone: 813-810-5578
Practice Fax: 269-248-8428

Directions to “NURSE PRACTITIONER ON THE GO ” 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.