EDWARD JOSEPH WASELESKI JR.


Address: 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613
Phone: 3525922755

EDWARD JOSEPH WASELESKI JR. (NPI# 1528529245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528529245
Entity Type Individual
Full Name EDWARD JOSEPH WASELESKI JR.
Credential DO
Practice Address 11375 Cortez Blvd.
State Road 50
Brooksville
FL 34613
Mailing Address 11375 Cortez Blvd
State Road 50
Brooksville
FL 34613-5409
Practice Telephone 3525922755
Practice Fax Number 3525922753
Mailing Telephone 3525792755
Mailing Fax Number 3525916317
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 11375 CORTEZ BLVD.
STATE ROAD 50
City BROOKSVILLE
State FL
Zip Code 34613

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679196836 Izza Bazigh Student in an Organized Health Care Education/Training Program 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 2020-05-22
1003446824 Spring Hill Pediatric Dentistry, LLC Dentist 7140 Sagheer St., Brooksville, FL 34613 2020-01-21
1407405822 Medical Risk Solutions Family Medicine 12080 Cortez Blvd, Brooksville, FL 34613 2019-09-09
1366903213 Paresh Rangani Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 2019-03-25
1225558034 Whitney King Student in an Organized Health Care Education/Training Program 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 2017-06-22
1922450022 Visionworks, Inc Eyewear Supplier (Equipment, not the service) 13217 Cortez Rd, Brooksville, FL 34613 2016-07-13
1992157408 Arushi Goel Internal Medicine 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 2016-07-08
1366823122 Monicka Stella Felix Internal Medicine 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 2015-06-17
1790171700 April Greer Hearing Instrument Specialist 13013 Cortez Blvd., Brooksville, FL 34613 2015-04-07
1659710713 Christina Lee Speech-Language Pathologist 12170 Cortez Bvld, Brooksville, FL 34613 2013-06-21
Find all providers in zip 34613

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679196836 Izza Bazigh Student in an Organized Health Care Education/Training Program 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 2020-05-22
1386296499 Rena Michelle Davis Student in an Organized Health Care Education/Training Program 20170 Cortez Blvd, Brooksville, FL 34601-3832 2019-07-10
1366903213 Paresh Rangani Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 2019-03-25
1225558034 Whitney King Student in an Organized Health Care Education/Training Program 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 2017-06-22
1336763283 Paven Uppal Student in an Organized Health Care Education/Training Program 11373 Cortez Blvd Ste 408, Brooksville, FL 34613-5406 2020-06-05
1740809268 Benjamin Micah Reinhold Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2020-04-14
1427677392 Meagan Brandy Powers Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2020-04-10
1619596749 Rahman Hashimie Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2020-04-09
1184243271 Bradford James Felker Montane Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2020-04-09
1689293763 Marjory Jones Student in an Organized Health Care Education/Training Program 11375 Cortez Blvd, Brooksville, FL 34613-5409 2020-04-09
Find all providers in BROOKSVILLE

Competitor

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City BROOKSVILLE
Zip Code 34613

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Dataset Information

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.

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