FLORIDA STATE NURSE REGISTRY (NPI# 1255932851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255932851 |
| Entity Type | Organization |
| Organization Name | FLORIDA STATE NURSE REGISTRY |
| Practice Address |
290 Citrus Tower Blvd Ste 229 Clermont FL 34711-2786 |
| Mailing Address |
7003 Presidents Dr Ste 800 Orlando FL 32809-5530 |
| Practice Telephone | 5226164753 |
| Mailing Telephone | 1407440287 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | JEFFREY RIVERA (ADMINISTRATOR) |
| Authorized Official Telephone | 1407440287 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
290 CITRUS TOWER BLVD STE 229 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-2786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1467068817 | Health Coach Direct Primary Care Practice Pllc | Clinic/Center | 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 | 2020-09-21 |
| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1689228884 | Greater Harvest Community Outreach Life Center | Clinic/Center | 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 | 2019-07-26 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.