MRS. YANITT GRISEL LOZADA PEREZ (NPI# 1639105661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639105661 |
| Entity Type | Individual |
| Full Name | MRS. YANITT GRISEL LOZADA PEREZ |
| Credential | M.D. |
| Practice Address |
204 E Palmetto St Wauchula FL 33873-2732 |
| Mailing Address |
5061 Cambry Ln Lakeland FL 33805-7554 |
| Practice Telephone | 8637732111 |
| Practice Fax Number | 8637733429 |
| Mailing Telephone | 8638029107 |
| Mailing Fax Number | 8638029107 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN282 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 16,052 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000350300 | 05 |
| Street Address |
204 E PALMETTO ST |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994914 | Angela M Cooper | Dentist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2005-10-04 |
| 1144862152 | Evan Mae Llupar Lachica | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2019-10-10 |
| 1821553991 | Maria Villeda | Dental Hygienist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2019-02-04 |
| 1508229709 | Amelia Lazayre Knight | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2016-04-04 |
| 1609004902 | Andrew Hein | Family Medicine | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2009-06-24 |
| 1831330604 | Mary E Vonmerveldt | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2009-03-09 |
| 1811156672 | Central Florida Health Care Inc | Clinic/Center | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2008-06-06 |
| 1821286287 | Karen E Mckenzie | Dentist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
| 1609261056 | Gloria Jean Shackelford | Massage Therapist | 114 W Orange St, Wauchula, FL 33873 | 2015-04-02 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1386902252 | Peaceful Mental Health Asociate, LLC | Counselor | 105 South 9th Ave., Wauchula, FL 33873 | 2012-04-30 |
| 1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
| 1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
| 1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
| 1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
| 1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
| 1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
| Find all providers in zip 33873 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194039321 | Gregorio Medalle Pa | General Practice | 1052 Downing Cir, Wauchula, FL 33873-3358 | 2010-07-29 |
| 1932175023 | Elizabeth P Luzod | General Practice | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2006-02-27 |
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
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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.