MR. NDUBUISI MBANO (NPI# 1174875983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174875983 |
| Entity Type | Individual |
| Full Name | MR. NDUBUISI MBANO |
| Practice Address |
3530 1st Ave N Ste 211 St Petersburg FL 33713-8443 |
| Mailing Address |
Po Box 361 Oldsmar FL 34677-0361 |
| Practice Telephone | 8138559603 |
| Mailing Telephone | 8138559603 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
| Street Address |
3530 1ST AVE N STE 211 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767668 | Marlene Reda | Technician/Technologist | 3180 Sw 2nd St, Miami, FL 33135-2755 | 2019-12-16 |
| 1477055564 | Marina Nemiroff | Technician/Technologist | 2 Marguerita Dr, Stuart, FL 34996-6338 | 2018-03-05 |
| 1629440870 | Wayne Goldman | Technician/Technologist | 12960 West State Road 84, Davie, FL 33325 | 2015-10-28 |
| 1871891739 | Clayton M. Berger, M.d., P.a. | Technician/Technologist | 201 Se 14th St, Fort Lauderdale, FL 33316-1827 | 2011-03-02 |
| 1114113685 | Central Florida Eye Clinic P.a. | Technician/Technologist | 814 Griffin Rd, Lakeland, FL 33805-2440 | 2007-09-19 |
| 1386843795 | Sual Optical Corporation | Technician/Technologist | 10720 W Flagler St, Suite 6, Miami, FL 33174-4406 | 2007-07-16 |
| 1295856516 | University Opticians, Inc. | Technician/Technologist | 300 Sw 4th Ave, Gainesville, FL 32601-6550 | 2007-04-03 |
| 1174640957 | Jhf, Inc. | Technician/Technologist | 1850 S Ocean Blvd, Suite 211, Pompano Beach, FL 33062-7921 | 2007-03-25 |
| 1093715302 | Lauren Richard Rosecan | Technician/Technologist | 901 N Flagler Dr # 4, West Palm Beach, FL 33401-3713 | 2005-07-28 |
| 1093259459 | Scott Cook | Technician/Technologist | 5920 Johnson St, Suite 104, Hollywood, FL 33021-5652 | 2016-12-05 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on MR. NDUBUISI MBANO.
| 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.