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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
ND1986 | FL | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 8908869-00 | 05 |
Street Address |
199 AVE. B., N.W. BOND CLINIC , P.A. |
City | WINTER HAVEN |
State | FL |
Zip Code | 33881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
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 |
1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
Find all providers in zip 33881 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811596042 | Carmen Felicia Fernandez | Nutritionist | 8871 Sw 41st St, Miami, FL 33165-5434 | 2020-10-19 |
1952908204 | Kimberly Mezzetti | Nutritionist | 22371 Sea Bass Dr, Boca Raton, FL 33428-4616 | 2020-10-08 |
1578187415 | Allison Kieves | Nutritionist | 9430 Lago Dr, Boynton Beach, FL 33472-2752 | 2020-06-06 |
1447872122 | Home Doctor Network, LLC | Nutritionist | 5260 78th Ave N Unit 1562, Pinellas Park, FL 33780-8062 | 2020-05-15 |
1689211773 | Rebeca Stevenson | Nutritionist | 1821 Ne 62nd St, Fort Lauderdale, FL 33308-2184 | 2019-12-08 |
1902443187 | Shadia Hamadeh | Nutritionist | 9596 Lake Serena Dr, Boca Raton, FL 33496-6517 | 2019-12-05 |
1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1699289132 | Urenu LLC | Nutritionist | 2412 Winchester Blvd, Kissimmee, FL 34743-3627 | 2017-11-20 |
1023520913 | Chelsea Carr | Nutritionist | 3515 Village Blvd Apt 402, West Palm Beach, FL 33409-7440 | 2017-10-31 |
Find all providers with the same taxonomy |
City | WINTER HAVEN |
Zip Code | 33881 |
Please comment or provide details below to improve the information on JILL PAGE HARBISON.
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.