EVERET LAKE (NPI# 1184792657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184792657 |
| Entity Type | Individual |
| Full Name | EVERET LAKE |
| Practice Address |
4924 S. Allen Road Zephyrhills FL 33541 |
| Mailing Address |
2502 N Rocky Point Dr Suite 1000-credentialing Tampa FL 33607-1421 |
| Practice Telephone | 8137798591 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN17765 | FL | Dental Providers |
| Street Address |
4924 S. ALLEN ROAD |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470788 | Esnath Prudence Powe | Registered Nurse | 6105 Merrifield Drive, Zepityrhills, FL 33541 | 2018-03-14 |
| 1932649993 | Jose L Bonilla | Nurse Anesthetist, Certified Registered | 7050 Gall Blvd., Zephyrhills, FL 33541 | 2017-02-24 |
| 1447502364 | Patricia Nicole Fleming | Massage Therapist | 7050 Gall Boulevard, Zephyrhills, FL 33541 | 2012-10-03 |
| 1922235290 | Shanna Rhea Preston Allen | Speech-Language Pathologist | 35015 Meadow Reach Dr, Zephyrhills, FL 33541 | 2009-06-15 |
| 1275724726 | Leonel A Pastora | Durable Medical Equipment & Medical Supplies | 4845 Allen Rd, Zephyrhills, FL 33541 | 2007-08-08 |
| 1275735813 | Rhonda Leslie | Developmental Therapist | 35808 Diamond Head Court, Zephyrhills, FL 33541 | 2007-06-05 |
| 1912127838 | Connie Lea Yeomon | Licensed Practical Nurse | 37918 Medical Arts Ct, Zephyrhills, FL 33541 | 2007-04-26 |
| 1972723898 | Ida F Schultz | Licensed Practical Nurse | 37922 Medical Arts Court, Zephyrhills, FL 33541 | 2007-04-26 |
| 1679615868 | Edward F Bishara | Pharmacist | 36348 State Road 54, Zephyrhills, FL 33541 | 2007-02-13 |
| 1588718647 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6844 Gall Boulevard, Zephyrhills, FL 33541 | 2007-01-23 |
| Find all providers in zip 33541 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801455258 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7344 Gall Blvd, Zephyrhills, FL 33541-4370 | 2019-06-10 |
| 1902210842 | Mohammad Ahmad Spouh | Dentist | 7950 Gall Blvd, Zephyrhills, FL 33541-4304 | 2014-06-18 |
| 1821207077 | Maridith G De Jesus | Dentist | 4924 Allen Rd, Zephyrhills, FL 33541-3526 | 2007-05-22 |
| 1720204886 | Kulwant S Bedi | Dentist | 6153 Fort King Rd, Zephyrhills, FL 33542-7520 | 2007-04-17 |
| 1124196068 | Scott Quay Bryington | Dentist | 37153 State Road 54 West, Zephyrhills, FL 33542 | 2006-11-30 |
| 1649273426 | Larry B Butler | Dentist | 6519 Stadium Dr, Zephyrhills, FL 33542-7567 | 2005-05-24 |
| 1174134381 | Bartlomiej Ladzinski | Dentist | 5345 3rd St, Zephyrhills, FL 33542-3928 | 2020-08-11 |
| 1598374043 | Bianca Poernbacher Mclendon | Dentist | 5345 3rd St, Zephyrhills, FL 33542-3928 | 2020-07-29 |
| 1679064950 | Hayder A Abdulameer | Dentist | 5345 3rd St, Zephyrhills, FL 33542-3928 | 2018-05-23 |
| 1952756447 | Jsk Family Dental, P.a. | Dentist | 7715 Gall Blvd, Zephyrhills, FL 33541-4315 | 2016-05-03 |
| Find all providers in ZEPHYRHILLS | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33541 |
Please comment or provide details below to improve the information on EVERET LAKE.
| 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.