JACQUES J DENIZARD (NPI# 1447326640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447326640 |
| Entity Type | Individual |
| Full Name | JACQUES J DENIZARD |
| Credential | PAC |
| Practice Address |
2080 W Eau Gallie Blvd Suite A Melbourne FL 32935-3185 |
| Practice Telephone | 3212546218 |
| Practice Fax Number | 3212546230 |
| Mailing Telephone | 3212546218 |
| Mailing Fax Number | 3212546230 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2471 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2080 W EAU GALLIE BLVD SUITE A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144274358 | Space Coast Health Care Services | Internal Medicine | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-05-20 |
| 1750692570 | Renato M Durham Md Pa | Emergency Medicine | 2080 W Eau Gallie Blvd, Melbourne, FL 32935-3185 | 2010-06-25 |
| 1508002544 | Derek Lee Eisnor Md Pa | Emergency Medicine | 2080 W Eau Gallie Blvd, Melbourne, FL 32935-3185 | 2008-12-22 |
| 1083864987 | Nicole F Taft | Physician Assistant | 2080 W Eau Gallie Blvd, Melbourne, FL 32935-3185 | 2008-09-26 |
| 1790946465 | Michael Alan Shapiro Md Pa | Emergency Medicine | 2080 W Eau Gallie Blvd, Melbourne, FL 32935-3185 | 2008-06-24 |
| 1144385139 | Atlantic Medical Associates LLC | Internal Medicine | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-12-27 |
| 1861568115 | Vicki L Cooper | Physician Assistant | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-11-28 |
| 1962578153 | Halcian L Graham | Physician Assistant | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-11-28 |
| 1699841932 | Tina M Campanile | Physician Assistant | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-11-28 |
| 1861568123 | Dale A Crites | Physician Assistant | 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021895 | Breeyon Beachel | Physician Assistant | 4610 Beck Lake Trl Apt 1, Melbourne, FL 32901-8805 | 2020-10-23 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1720694326 | Michelle Smith | Physician Assistant | 2330 Andrea Ct, Melbourne, FL 32934-7601 | 2020-09-18 |
| 1093331787 | Alyssa Capawana | Physician Assistant | 6740 Shadow Creek Trl Apt 5410, Melbourne, FL 32940-6293 | 2020-06-18 |
| 1194359018 | Jarrod D Kearney | Physician Assistant | 580 N Wickham Rd Ste C, Melbourne, FL 32935-8400 | 2020-02-29 |
| 1104392851 | Rachel Margaret Martins | Physician Assistant | 1052 Fieldstone Dr, Melbourne, FL 32940-1633 | 2018-10-21 |
| 1497230320 | Mirabella M. Muller | Physician Assistant | 298 Michigan Ave Ste 101, Melbourne, FL 32901-3104 | 2018-09-26 |
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1538485941 | David Luke Brightwell | Physician Assistant | 54 Tate Springs Rd, Melbourne, AR 72556-8633 | 2010-04-09 |
| 1679808588 | Maycie A Cruz | Physician Assistant | Family Practice of Suntree and Viera, 2 Suntree Place, Melbourne, FL 32940 | 2009-10-09 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on JACQUES J DENIZARD.
| 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.