DR. LEE ARNOLD BRIDGEWATER (NPI# 1215020219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215020219 |
| Entity Type | Individual |
| Full Name | DR. LEE ARNOLD BRIDGEWATER |
| Credential | PH.D. |
| Practice Address |
551 National Health Care Dr Daytona Beach FL 32114-1495 |
| Mailing Address |
194 Centennial Ln Daytona Beach FL 32119-2356 |
| Practice Telephone | 3863237500 |
| Mailing Telephone | 3867886399 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
672 | LA | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
672 | LA | Behavioral Health & Social Service Providers |
| Street Address |
551 NATIONAL HEALTH CARE DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318483 | John S Zwirz | Pharmacist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2005-10-03 |
| 1134720428 | Enereida Ramos Rodriguez | Social Worker | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-11-04 |
| 1457965477 | Amie Thu Nguyen | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-09-08 |
| 1548884448 | Jessica Maya Doyle | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-06-05 |
| 1770122921 | Rosa A Arndt | Registered Nurse | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-01-04 |
| 1487213211 | Alely Hostia | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-06-05 |
| 1780145482 | Jeffrey Kyle Wells | Student in an Organized Health Care Education/Training Program | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-03-26 |
| 1689141889 | Kiri J Rutledge | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-26 |
| 1497222772 | Madeline Coughlin | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| 1013484260 | Shanelle Jenkins | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052399 | Kasiim Shakir Barr | Psychologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465279 | Ronald Mark Sherman | Psychologist | 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 | 2020-10-22 |
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on DR. LEE ARNOLD BRIDGEWATER.
| 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.