MR. RICHARD BORCK (NPI# 1053831644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053831644 |
| Entity Type | Individual |
| Full Name | MR. RICHARD BORCK |
| Credential | B.S., EMT-B |
| Practice Address |
1402 Oak St Melbourne FL 32901-3113 |
| Practice Telephone | (321) 722-3288 |
| Practice Fax Number | 3217223468 |
| Mailing Telephone | 3217223288 |
| Mailing Fax Number | 3217223468 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 510263 | FL | Emergency Medical Service Providers |
| N | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers | ||
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1324 Valentine St, Melbourne, FL 329013128 | 3217223288 | 3217223468 |
| Street Address |
1402 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296783 | Charles H. Croft | Specialist | 1402 Oak St, Melbourne, FL 32901-3113 | 2005-12-15 |
| 1245475151 | Melissa Suzanne Kuba | Nurse Practitioner | 1402 Oak St, Melbourne, FL 32901-3113 | 2008-12-05 |
| 1285806869 | Charles H. Croft M.d.,p.a. | Specialist | 1402 Oak St, Melbourne, FL 32901-3113 | 2008-03-24 |
| 1316160161 | Dineshkumar Gordhanbhai Patel | Internal Medicine | 1402 Oak St, Melbourne, FL 32901-3113 | 2007-04-10 |
| 1417087495 | Passion Quest, Inc. | Clinic/Center | 1402 Oak St, Melbourne, FL 32901-3113 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831399 | Joseph Anthony Pingatore | Emergency Medical Technician, Basic | 6030 Wilkinson Rd Apt 210, Sarasota, FL 34233-3872 | 2020-04-28 |
| 1588283071 | James Bridges | Emergency Medical Technician, Basic | 2001 Saxon Dr, New Smyrna Beach, FL 32169-3246 | 2020-04-14 |
| 1891336327 | Tony Bernard Anderson Sr. | Emergency Medical Technician, Basic | 20324 Nw 36th Ct, Miami Gardens, FL 33056-1749 | 2019-10-06 |
| 1538727359 | Robert Ortega IIi | Emergency Medical Technician, Basic | 1513 Se 20th Pl, Homestead, FL 33035-2609 | 2019-06-05 |
| 1013472042 | Christine Anne Sacramento | Emergency Medical Technician, Basic | 20803 Johnson St, Pembroke Pines, FL 33029-1916 | 2019-02-04 |
| 1922502434 | David Patlak | Emergency Medical Technician, Basic | 1881 Washington Ave Apt 2h, Miami Beach, FL 33139-7445 | 2018-03-20 |
| 1164961694 | Dowil Henry | Emergency Medical Technician, Basic | 9628 Ne 2nd Ave, Suite#b3, Miami Shores, FL 33138-2767 | 2017-02-16 |
| 1841734266 | John Mccants | Emergency Medical Technician, Basic | 1302 Detour Rd, Haines City, FL 33844-9304 | 2016-12-05 |
| 1437600418 | Isabel Brasil | Emergency Medical Technician, Basic | 8928 W 35th Ln, Hialeah, FL 33018-1887 | 2016-10-14 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.