BLAKE DESENTI (NPI# 1518489970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518489970 |
| Entity Type | Individual |
| Full Name | BLAKE DESENTI |
| Practice Address |
819 Park Trail Drive Minneola FL 34715 |
| Mailing Address |
819 Park Trail Dr Minneola FL 34715-7742 |
| Practice Telephone | 3524591787 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
819 PARK TRAIL DRIVE |
| City | MINNEOLA |
| State | FL |
| Zip Code | 34715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147811 | Sharon George | Physical Therapy Assistant | 301 Us-27 N, Minneola, FL 34715 | 2020-09-01 |
| 1689133290 | Mohawk Surgery Center LLC | Clinic/Center | 201 Mohawk Rd, Minneola, FL 34715 | 2019-03-14 |
| 1265855217 | John Geron Rogers | Counselor | 506 S. Hwy 27, Ste N, Minneola, FL 34715 | 2014-01-28 |
| 1609217132 | Linda Jean Thomas | Speech-Language Pathologist | 20444 Sugarloaf Mountain Road, Clermont, FL 34715 | 2013-07-12 |
| 1164783833 | Richard Doiron | Physical Therapy Assistant | 236 Mohawk Road, Clermont, FL 34715 | 2012-05-30 |
| 1194023283 | Simon James Mitchell | Speech-Language Pathologist | 200 C S Hwy 27, Clermont, FL 34715 | 2011-03-14 |
| 1134438864 | Minneola Chiropractic LLC | Chiropractor | 600 N Us Highway 27, Suite 2, Minneola, FL 34715 | 2010-09-29 |
| 1013238740 | Kingdom Building Services LLC | Community/Behavioral Health | 833 Willow Run St, Suite A, Minneola, FL 34715 | 2010-06-16 |
| 1033353313 | Orvil Luis Ayala | Anesthesiology | 240 Mohawk Rd, Clermont, FL 34715 | 2009-04-30 |
| 1841400421 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 814 N Highway 27, Minneola, FL 34715 | 2007-05-23 |
| Find all providers in zip 34715 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1982205928 | Christian Miguel Castilla | Student in an Organized Health Care Education/Training Program | 6800 Nw 39th Ave Lot 173, Coconut Creek, FL 33073-2159 | 2020-11-05 |
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1477153286 | Bruce Jordan Billinger | Student in an Organized Health Care Education/Training Program | 8851 Us Highway 19 N Apt 2307, Pinellas Park, FL 33782-5842 | 2020-10-30 |
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1053910752 | Nicole Maria Cooke | Student in an Organized Health Care Education/Training Program | 211 Buck Run Way, Saint Augustine, FL 32092-1833 | 2020-10-22 |
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.