MISS MARIANNETTE PLAZA (NPI# 1477535144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477535144 |
| Entity Type | Individual |
| Full Name | MISS MARIANNETTE PLAZA |
| Credential | NP |
| Practice Address |
1255 State Road 60 E Ste 300 Lake Wales FL 33853 |
| Mailing Address |
1255 State Road 60 E Ste 300 Lake Wales FL 33853-4310 |
| Practice Telephone | 8632596534 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
ARNP9408302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 State Road 60 E Ste 300, Lake Wales, FL 33853 | 8632743494 |
| Street Address |
1255 STATE ROAD 60 E STE 300 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1033563580 | Amber Y Shepard | Family Medicine | 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 2016-04-21 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548738974 | Jocelyn Elise Vincent | Nurse Practitioner | 14007 N Access Rd, Crystal River, FL 34428-6764 | 2018-11-03 |
| 1902382708 | Dana Lord | Nurse Practitioner | 2400 Spring Hollow Loop, Wesley Chapel, FL 33544-8702 | 2018-07-14 |
| 1780121277 | Nurse Practitioner Group LLC | Nurse Practitioner | 12380 Nw 9th St, Plantation, FL 33325-1305 | 2017-01-23 |
| 1669675864 | Kathleen A. Lane | Nurse Practitioner | 3745 33rd St N Ste A, St Petersburg, FL 33713-1556 | 2007-06-06 |
| 1467677898 | Elizabeth Nash | Nurse Practitioner | 1211 T M H Court, Tallahassee, FL 32308 | 2007-04-13 |
| 1558468991 | Polk County Board of County Commissioners | Nurse Practitioner | 2010 E Georgia St, Bartow, FL 33830-6709 | 2006-09-20 |
| 1326063918 | Dawn M Hoskins | Nurse Practitioner | 4899 W Waters Ave Ste C, Tampa, FL 33634-1304 | 2006-07-13 |
| 1609853837 | Rebecca Lynne Hayes | Nurse Practitioner | 818 Main Ln, Orlando, FL 32801-3727 | 2005-12-29 |
| 1801895370 | Marchina L. Tolbert-jones | Nurse Practitioner | 1001 Coastal Cir, Ocoee, FL 34761-4319 | 2005-07-18 |
| 1528622719 | Quang Duong | Nurse Practitioner | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
Please comment or provide details below to improve the information on MISS MARIANNETTE PLAZA.
| 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.