JILL PAGE HARBISON


Address: 199 Ave. B., N.w., Bond Clinic, P.a., Winter Haven, FL 33881
Phone: 8632931191

JILL PAGE HARBISON (NPI# 1407832462) 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) 1407832462
Entity Type Individual
Full Name JILL PAGE HARBISON
Credential CDE
Practice Address 199 Ave. B., N.w.
Bond Clinic, P.a.
Winter Haven
FL 33881
Mailing Address 500 E Central Ave
Bond Clinic, P.a.
Winter Haven
FL 33880
Practice Telephone 8632931191
Practice Fax Number 8635082213
Mailing Telephone 8632931191
Mailing Fax Number 8632933635
Enumeration Date 2005-12-21
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
ND1986 FL Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 8908869-00 05

Office Location

Street Address 199 AVE. B., N.W.
BOND CLINIC , P.A.
City WINTER HAVEN
State FL
Zip Code 33881

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1659862423 Patricia Pelt Social Worker 3073 Buckeye Point Dr, Winter Haven, FL 33881 2018-05-28
1952891244 Ansley Health LLC Home Health 1502 6th Ct Ne, Winter Haven, FL 33881 2018-05-14
1346699261 Yovanka Zapata Specialist/Technologist, Other 5856 Windrigde Dr., Winter Haven, FL 33881 2016-06-10
1720415599 Villa Pharmacy LLC Pharmacy 105 Avenue R Nw, Winter Haven, FL 33881 2013-10-10
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1780938225 Penelope Sturdevant Nurse Practitioner 2791 Lake Alfred Rd., Winter Haven, FL 33881 2012-11-06
1649548165 Tim R Acree Non-emergency Medical Transport (VAN) 2 Eagles Nest, Winter Haven, FL 33881 2011-12-12
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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1689211773 Rebeca Stevenson Nutritionist 1821 Ne 62nd St, Fort Lauderdale, FL 33308-2184 2019-12-08
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Competitor

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City WINTER HAVEN
Zip Code 33881

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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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