DR. MAX BEAUVOIR (NPI# 1083968135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083968135 |
| Entity Type | Individual |
| Full Name | DR. MAX BEAUVOIR |
| Credential | PHARMD |
| Practice Address |
7575 Osceola Polk Line Rd Davenport FL 33896-9112 |
| Mailing Address |
3003 Marta Cir 303 Kissimmee FL 34741-0742 |
| Practice Telephone | 3216770531 |
| Practice Fax Number | 3216770537 |
| Mailing Telephone | 4074354383 |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2012-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS47601 | FL | Pharmacy Service Providers |
| Street Address |
7575 OSCEOLA POLK LINE RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33896-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345898 | Mary Johnson | Nurse Practitioner | 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | 2006-04-14 |
| 1720557598 | Molly Christensen | Nurse Practitioner | 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | 2018-11-21 |
| 1841742244 | Michael Garcia | Nurse Practitioner | 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | 2016-11-01 |
| 1154600963 | James Kenneth Giordani | Nurse Practitioner | 7575 Osceola Polk Line Rd, Davenport, FL 33896 | 2011-08-10 |
| 1689880130 | Cynthia Suzanne Bruns-smit | Nurse Practitioner | 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | 2007-05-14 |
| 1942304829 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1891176160 | Annissa Michael | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-06-12 |
| 1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
| 1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
| 1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
| 1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
| 1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
| Find all providers in zip 33896 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590815 | Bala Kode | Pharmacist | 2306 North Blvd W Ste A, Davenport, FL 33837-8976 | 2020-08-28 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1861033748 | Robert Lichtenstein | Pharmacist | 105 Castellon Ct, Davenport, FL 33837-6853 | 2019-10-02 |
| 1093288177 | Emma Awad | Pharmacist | 2790 E 53rd St, Davenport, IA 52807-3007 | 2019-01-10 |
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1225413701 | Katherine Finkey | Pharmacist | 1012 W 60th St, Davenport, IA 52806-2808 | 2015-07-24 |
| 1518383611 | Javier Ortiz | Pharmacist | 1317 Oakcrest Ct, Davenport, FL 33837-1707 | 2014-03-13 |
| 1487901229 | Chelsea D Schorg | Pharmacist | 4436 N Brady St, Ste 101, Davenport, IA 52806-4063 | 2012-08-11 |
| 1215293261 | Mark S Green | Pharmacist | 923 W Central Park Ave, Davenport, IA 52804-1802 | 2012-04-04 |
| Find all providers in DAVENPORT | ||||
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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.