RAISA HODZIC (NPI# 1457829293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457829293 |
| Entity Type | Individual |
| Full Name | RAISA HODZIC |
| Practice Address |
1532 62nd Ave N Saint Petersburg FL 33702-7338 |
| Mailing Address |
365 114th Ave N Unit 4 Saint Petersburg FL 33716-2826 |
| Practice Telephone | 7274590062 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
1532 62ND AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33702-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332468 | Coastal Quality Care LLC | Clinic/Center | 6625 23rd Cir N, Saint Petersburg, FL 33702-5609 | 2020-10-01 |
| 1346893773 | Salters Family Homecare | Clinic/Center | 2834 2nd Ave S, Saint Petersburg, FL 33712-1004 | 2019-07-24 |
| 1184198772 | Latasha L Simmons | Clinic/Center | 2462 13th Ave N Apt 308, Saint Petersburg, FL 33713-5855 | 2019-01-16 |
| 1336626183 | Premier Group Homes LLC | Clinic/Center | 2433 9th Ave N, Saint Petersburg, FL 33713-6834 | 2018-07-24 |
| 1205326600 | Laquanda Whitaker | Clinic/Center | 6355 27th St N, Saint Petersburg, FL 33702-6395 | 2018-05-11 |
| 1184152357 | Clover Robinson | Clinic/Center | 4521 Catalonia Way S, Saint Petersburg, FL 33712-4122 | 2017-05-31 |
| 1689105934 | Insytt, Inc. | Clinic/Center | 4440-43 Street North, Saint Petersburg, FL 33714-3506 | 2017-03-27 |
| 1528424603 | Jelena Zivanovic | Clinic/Center | 2894 52nd Ln N, Saint Petersburg, FL 33710-3441 | 2016-01-05 |
| 1477114817 | Tiara Salter | Clinic/Center | 2834 2nd Ave S, Saint Petersburg, FL 33712-1004 | 2019-06-26 |
| 1487210217 | Mirjana Bilanovic | Clinic/Center | 6944 18th St N, Saint Petersburg, FL 33702-6550 | 2019-05-16 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33702 |
Please comment or provide details below to improve the information on RAISA HODZIC.
| 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.