IRIS LEVON GATHERS (NPI# 1235628637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235628637 |
| Entity Type | Individual |
| Full Name | IRIS LEVON GATHERS |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
200 Reid Ave Port St Joe FL 32456-1824 |
| Mailing Address |
Po Box 1142 Port St Joe FL 32457-1142 |
| Practice Telephone | 8502294247 |
| Mailing Telephone | 8502276029 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
L1709270000753 | FL | Other Service Providers |
| Street Address |
200 REID AVE |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337958 | Rasheda Juandrell Tyson | Specialist | 2702 Massachusetts Ave Apt 185, Pensacola, FL 32505-3475 | 2020-05-14 |
| 1285262352 | Narotique Beauty Bar | Specialist | 20401 Nw 2nd Ave Ste 208, Miami, FL 33169-2572 | 2020-04-01 |
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1427696905 | Vanessa Lisa Gaspard | Specialist | 355 Ne 159th St, Miami, FL 33162-5007 | 2019-12-16 |
| 1720622798 | Cesar A Brito | Specialist | 744 W Brandon Blvd, Brandon, FL 33511-4902 | 2019-11-03 |
| 1316598303 | Rashawnda Thomas | Specialist | 4110 Sw 34th St Ste 22, Gainesville, FL 32608-6529 | 2019-09-22 |
| 1891352795 | Calandra Sands | Specialist | 801 S Dixie Hwy W Ste 5, Pompano Beach, FL 33060-8263 | 2019-05-26 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1457819070 | Aramis Tylise Hamilton | Specialist | 1514 S Alexander St Ste 207, Plant City, FL 33563-8418 | 2019-03-04 |
| 1356805642 | Olajide A Wilkerson | Specialist | 540 Nw 165th Street Rd Ste 109, Miami, FL 33169-6304 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
Please comment or provide details below to improve the information on IRIS LEVON GATHERS.
| 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.