MR. GREAT PATOOMBAL


Address: 852 Quartz Ter, West Palm Beach, FL 33413-1200
Phone: 5617977306

MR. GREAT PATOOMBAL (NPI# 1104362904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104362904
Entity Type Individual
Full Name MR. GREAT PATOOMBAL
Credential ARNP-BC
Practice Address 852 Quartz Ter
West Palm Beach
FL 33413-1200
Practice Telephone 5617977306
Mailing Telephone 5617977306
Enumeration Date 2017-01-17
Last Update Date 2017-01-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
9280339 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 852 QUARTZ TER
City WEST PALM BEACH
State FL
Zip Code 33413-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699290882 Claire Llanura Nurse Practitioner 852 Quartz Ter, West Palm Beach, FL 33413 2017-08-08

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1235623901 Sharpe Concierge Healthcare LLC Nursing Care 302 Harbour Pointe Way, Greenacres, FL 33413 2018-06-18
1881119121 Catherine Blanco Pharmacist 6591 Forest Hill Blvd, Greenacres, FL 33413 2017-08-08
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1508068198 Donald J Smarinsky Dentist 6772 Forest Hill Blvd, Greenacres, FL 33413 2007-06-05
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730485731 Vadim Troshkin Clinical Nurse Specialist 300 S Australian Ave Unit 1203, West Palm Beach, FL 33401-5100 2011-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1699301317 Jennifer Esther Strickland Clinical Nurse Specialist 3219 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-03-13
1457986317 Alejandro Oliveros Clinical Nurse Specialist 11663 Sw 152nd Pl, Miami, FL 33196-5238 2020-03-10
1467092080 Andres Gomez Clinical Nurse Specialist 17269 Nw 60th Ct # Ct511, Hialeah, FL 33015-4665 2020-01-11
1750851044 Darmeta Rashane Bradley Clinical Nurse Specialist 1949 Beacon Bay Ct, Apopka, FL 32712-8190 2018-11-28
1194259903 Andress L Burney Clinical Nurse Specialist 2065 Nobscot Pl, Apopka, FL 32703-8421 2017-04-18
1740729334 Taiwo Emiola Clinical Nurse Specialist 106 W Windhorst Rd Fl 33510, Brandon, FL 33510-2455 2017-02-16
1659738318 Yudith Simon Clinical Nurse Specialist 12111 Sugarloaf Key St Apt 102, Tampa, FL 33626-2746 2016-01-25
1538524681 Barbara Yordanka Valero Lopez Clinical Nurse Specialist 18000 Nw 68th Ave Apt 106, Hialeah, FL 33015-3942 2015-12-16
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Competitor

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City WEST PALM BEACH
Zip Code 33413

Improve Information

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Dataset Information

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.

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