JAMECA FREE SPIRIT DENNARD MOBILE PHLEBOTOMIST (NPI# 1477176378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477176378 |
| Entity Type | Individual |
| Full Name | JAMECA FREE SPIRIT DENNARD MOBILE PHLEBOTOMIST |
| Practice Address |
205 S Lee Ave Arcadia FL 34266-3625 |
| Mailing Address |
Po Box 343 Arcadia FL 34265-0343 |
| Practice Telephone | 8632441648 |
| Mailing Telephone | 8632441648 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1477176378 | 05 |
| Street Address |
205 S LEE AVE |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861992745 | Elite Mobile Lab Services, LLC | Technician, Pathology | 7711 Sw Albritton St, Arcadia, FL 34266-8717 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800685 | Southern Mobile Labs | Technician, Pathology | 4132 Renova Ave, North Port, FL 34286-4281 | 2020-10-30 |
| 1215536214 | West Mobile Phlebotomy Corporation | Technician, Pathology | 807 Glencove Ave Nw, Palm Bay, FL 32907-7036 | 2020-10-21 |
| 1689280463 | Linda Snyder | Technician, Pathology | 611 N Wymore Rd Ste 220, Winter Park, FL 32789-2843 | 2020-09-17 |
| 1609482686 | Rachel Marcano Cruz | Technician, Pathology | 890 Barris Ln, Rockledge, FL 32955-4102 | 2020-09-16 |
| 1184238636 | Chantelle Debejare | Technician, Pathology | 5591 Sw 181st Ct, Dunnellon, FL 34432-2157 | 2020-09-02 |
| 1407467863 | Carole D Brown | Technician, Pathology | 4943 Docner St, New Port Richey, FL 34652-3424 | 2020-08-11 |
| 1356950711 | Maria Bordones | Technician, Pathology | 111 Barbera Dr, Davenport, FL 33897-4456 | 2020-07-30 |
| 1902414253 | Heather M Palonis | Technician, Pathology | 335 Moray Dr Sw, Palm Bay, FL 32908-6423 | 2020-07-22 |
| 1861000341 | Vonetta Barnwell | Technician, Pathology | 8019 Tompkins Sq, Orlando, FL 32807-8535 | 2020-07-21 |
| 1114545613 | Busy B Mobile LLC | Technician, Pathology | 2508 Belmont Ln # 2508, North Lauderdale, FL 33068-4296 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JAMECA FREE SPIRIT DENNARD MOBILE PHLEBOTOMIST.
| 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.