GERALD BUCKMAN


Address: 1177 Blackwood Ave, Ocoee, FL 34761-4518
Phone: 4072920073

GERALD BUCKMAN (NPI# 1366594384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366594384
Entity Type Individual
Full Name GERALD BUCKMAN
Practice Address 1177 Blackwood Ave
Ocoee
FL 34761-4518
Mailing Address 397 Misty Oaks Run
Casselberry
FL 32707-2820
Practice Telephone 4072920073
Enumeration Date 2007-01-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL LICENSE# SA1801 01

Office Location

Street Address 1177 BLACKWOOD AVE
City OCOEE
State FL
Zip Code 34761-4518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396854667 Michael White Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2006-08-30
1053647529 Thomas Langer II Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2009-10-19
1336391986 Michele Parker-hunter Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2008-10-15
1053490110 Timothy Heeke Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2006-11-02
1962512616 Kathy Steege Physical Therapy Assistant 1177 Blackwood Ave, Ocoee, FL 34761-4518 2006-08-30
1922118629 Mark Beckett Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2006-08-30
1558471458 Hilda Olivera Physical Therapist 1177 Blackwood Ave, Ocoee, FL 34761-4518 2006-08-30

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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

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Competitor

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City OCOEE
Zip Code 34761

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Dataset Information

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.

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