BRENT JOSEPH LATAILLE (NPI# 1598202814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598202814 |
| Entity Type | Individual |
| Full Name | BRENT JOSEPH LATAILLE |
| Credential | ARNP |
| Practice Address |
3500 Oak Manor Ln Largo FL 33774-1211 |
| Mailing Address |
13541 87th Pl Seminole FL 33776-2615 |
| Practice Telephone | 7274885915 |
| Mailing Telephone | 7274885915 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9261217 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3500 OAK MANOR LN |
| City | LARGO |
| State | FL |
| Zip Code | 33774-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740254911 | Largo Investments and Associates LLC | Assisted Living Facility | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2006-02-15 |
| 1285246173 | Farrah P Bell | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2020-08-20 |
| 1093375461 | Alicia Carroll | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2019-06-18 |
| 1649717604 | Austin Ruedrich | Physical Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2017-01-27 |
| 1841684792 | Ally Monheim | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2015-03-27 |
| 1356741953 | Jennifer Zasimovitch | Speech-Language Pathologist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2014-09-02 |
| 1821402504 | Jenine Mannari | Speech-Language Pathologist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2014-06-20 |
| 1912311697 | Pedro Martinez Jr. | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2014-06-20 |
| 1073943700 | Encore Preakness, Inc. | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2013-11-15 |
| 1659642098 | Kari Tosh | Speech-Language Pathologist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2012-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727654 | Chelsea Lee Deluca | Nurse Practitioner | 1301 2nd Ave Sw Fl 6, Largo, FL 33770-3120 | 2020-10-16 |
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1275143596 | Christina Vernessa Turner | Nurse Practitioner | 12190 Seminole Blvd Ste A, Largo, FL 33778-2833 | 2020-08-01 |
| 1477161388 | Nicole Fosnacht | Nurse Practitioner | 502 Crooked Pine Ct, Largo, FL 33770-2722 | 2020-07-16 |
| 1992354955 | Majlinda Rakipi Holmes | Nurse Practitioner | 8787 Bryan Dairy Rd Ste 230, Largo, FL 33777-1258 | 2019-09-11 |
| 1770132490 | Vanessa Marie Belcher | Nurse Practitioner | 9652 128th Ter, Largo, FL 33773-1223 | 2019-09-05 |
| 1750942843 | Bee Home Medical, LLC | Nurse Practitioner | 3116 Meta Ct, Largo, FL 33771-3951 | 2019-06-28 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1003203894 | Alyssa Benson | Nurse Practitioner | 12420 130th Ave N, Largo, FL 33774-1919 | 2015-04-20 |
| Find all providers in LARGO | ||||
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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.