PHILIP GOZDOWSKI (NPI# 1306469424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306469424 |
| Entity Type | Individual |
| Full Name | PHILIP GOZDOWSKI |
| Credential | APRN |
| Practice Address |
3768 Glenford Dr Clermont FL 34711-5090 |
| Practice Telephone | 4194617263 |
| Mailing Telephone | 4194617263 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11007217 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3768 GLENFORD DR |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-5090 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1912521576 | Laura Ferreira | Nurse Practitioner | 11542 Pineloch Loop, Clermont, FL 34711-6457 | 2020-05-29 |
| 1144862459 | Alyssa Lynn Verkuilen | Nurse Practitioner | 13708 Hartle Groves Pl Apt 310, Clermont, FL 34711-8772 | 2019-10-09 |
| 1568962165 | Christiane Daniele Kom | Nurse Practitioner | 843 Skyridge Rd, Clermont, FL 34711-5111 | 2018-02-20 |
| 1356858666 | Sarah Margaret Simmons | Nurse Practitioner | 2400 Hooks St, Clermont, FL 34711-3514 | 2018-01-08 |
| 1093164667 | Jared T Simmons | Nurse Practitioner | 3725 S Hwy 27, Ste 105, Clermont, FL 34711 | 2016-06-06 |
| 1396168118 | Mandy Lynn Moore | Nurse Practitioner | 1920 Don Wickham Drive, Suit 330, Clermont, FL 34711 | 2014-01-30 |
| 1275598815 | Cynthia M Perkins | Nurse Practitioner | 2400 Hook St, Suite 100, Clermont, FL 34711-3514 | 2006-04-18 |
| 1932182672 | Frandzie Daphnis | Nurse Practitioner | 711 S Hwy 27, Suite E, Clermont, FL 34711-2791 | 2005-11-28 |
| 1609484609 | Lindsay Wood | Nurse Practitioner | 1950 Hospital View Way, Clermont, FL 34711-1926 | 2020-07-16 |
| Find all providers in CLERMONT | ||||
Please comment or provide details below to improve the information on PHILIP GOZDOWSKI.
| 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.