MR. BRYAN JAMES MCCALL (NPI# 1437623998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437623998 |
Entity Type | Individual |
Full Name | MR. BRYAN JAMES MCCALL |
Credential | NP-C |
Practice Address |
1000 Waterman Way Tavares FL 32778-5266 |
Mailing Address |
309 E Blue Water Edge Dr Eustis FL 32736-2251 |
Practice Telephone | 3522533333 |
Mailing Telephone | 3522231086 |
Enumeration Date | 2019-01-17 |
Last Update Date | 2019-02-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001460 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1000 WATERMAN WAY |
City | TAVARES |
State | FL |
Zip Code | 32778-5266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306841044 | David G Koo | Family Medicine | 1000 Waterman Way, Tavares, FL 32778 | 2005-06-18 |
1982227591 | Mariel Battung Delos Santos | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-05-19 |
1134748791 | Grace Dirani | Physical Therapy Assistant | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-04-14 |
1568098135 | Michelle Maes | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-16 |
1326673211 | Jessica Nadona Sweet | Speech-Language Pathologist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-11 |
1518502327 | Victoria Rose Gerace | Dietitian, Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-11-15 |
1396388674 | Christopher Thomas Jacob | Nurse Anesthetist, Certified Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-10-19 |
1851940035 | Florida Hospital Waterman Inc | Rehabilitation Unit | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-09-10 |
1841851243 | Martha Georgette Velez | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-06-26 |
1689142002 | Tony Vick | Emergency Medical Technician, Paramedic | 1000 Waterman Way, Tavares, FL 32778-5266 | 2018-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
Find all providers in zip 32778 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
1437582822 | Daisy Anndrea Parks | Nurse Practitioner | 1939 Salk Ave, Tavares, FL 32778-4306 | 2013-08-20 |
1427674472 | Amanda Katherine Poole | Nurse Practitioner | 1691 Mayo Dr, Tavares, FL 32778-4301 | 2020-06-24 |
1104488907 | Genesis Edlin Guerrero | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778-4320 | 2019-07-01 |
1336700434 | Katie Michele Sanford | Nurse Practitioner | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2019-06-28 |
1518425131 | Shinumol Sabu | Nurse Practitioner | 3150 Waterman Way, Tavares, FL 32778-5252 | 2019-03-04 |
1700392727 | Rona Tagalog | Nurse Practitioner | 1707 Mayo Dr, Tavares, FL 32778-4307 | 2017-12-28 |
1649786062 | Carine Elisma | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2017-12-21 |
1447780556 | Elizabeth Barger | Nurse Practitioner | 2523 Dora Ave, Tavares, FL 32778-4977 | 2017-06-13 |
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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.