ENRIQUE TECHNOLOGIES INC (NPI# 1477785095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477785095 |
| Entity Type | Organization |
| Organization Name | ENRIQUE TECHNOLOGIES INC |
| Practice Address |
777 W Duval St Lake City FL 32055-5806 |
| Mailing Address |
120 Sunset Harbor Way No 201 St Augustine FL 32080-8238 |
| Practice Telephone | 3867586950 |
| Practice Fax Number | 3867588018 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-21 |
| Authorized Official Name | ALDO ENRIQUE (OWNER) |
| Authorized Official Telephone | 9046269244 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENRIQUE TECHNOLOGIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386876902 | Enrique Technologies Inc | Clinic/Center | 506 4th St Nw, Jasper, FL 32052-6603 | 2009-08-14 |
| Street Address |
777 W DUVAL ST |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689654584 | Ira Lee | Nurse Practitioner | 777 W Duval St, Lake City, FL 32055-5806 | 2006-01-18 |
| 1316581879 | Jennifer Lyn Bryan | Registered Nurse | 777 W Duval St, Lake City, FL 32055-5806 | 2019-10-28 |
| 1356904353 | Magnolia Family Care | Family Medicine | 777 W Duval St, Lake City, FL 32055-5806 | 2019-04-16 |
| 1013457134 | Heather Langston Finnell | Nurse Practitioner | 777 W Duval St, Lake City, FL 32055-5806 | 2017-03-08 |
| 1477631752 | Hc Healthcare Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396969002 | Lake City Family Medicine LLC | Clinic/Center | 901 N. Matthews Rd., Lake City, SC 29560 | 2007-04-12 |
| 1316953649 | Lower Florence County Hosptial | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-07-31 |
| 1497754154 | Andres R Villar Md | Clinic/Center | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| 1457950222 | Medical University Hospital Authority | Clinic/Center | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2020-10-22 |
| 1114246584 | East Main Medical Services, LLC | Clinic/Center | 238 E Main St, Lake City, SC 29560-2114 | 2010-05-25 |
| 1144467960 | Lake City Family Medicine LLC | Clinic/Center | 901 N Matthews Rd, Lake City, SC 29560-7024 | 2009-01-15 |
| 1215157334 | Carolinas Medical Alliance, Inc | Clinic/Center | 101 John St, Lake City, SC 29560-2411 | 2007-04-30 |
| 1477631752 | Hc Healthcare Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2006-11-02 |
| 1902903222 | Lower Florence County Hospital | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-09-20 |
| 1437256757 | Lower Florence County Hospital | Clinic/Center | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-20 |
| Find all providers in LAKE CITY | ||||
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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.