MYRIAME VASTEY (NPI# 1649245804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649245804 |
| Entity Type | Individual |
| Full Name | MYRIAME VASTEY |
| Credential | M.D. |
| Practice Address |
1213 State Road 20 Interlachen FL 32148-2737 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3866844914 |
| Practice Fax Number | 3866846524 |
| Mailing Telephone | 3863288371 |
| Mailing Fax Number | 3863281519 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME93935 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273401000 | 05 |
| Street Address |
1213 STATE ROAD 20 |
| City | INTERLACHEN |
| State | FL |
| Zip Code | 32148-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790241 | Nicholas Bryan Sorensen | Pharmacist | 1213 State Road 20, Interlachen, FL 32148-2737 | 2017-02-28 |
| 1811387590 | Julie Elwood | Social Worker | 1213 State Road 20, Interlachen, FL 32148-2737 | 2015-02-02 |
| 1730498916 | Joseph Anthony Altamirando | Physician Assistant | 1213 State Road 20, Interlachen, FL 32148-2737 | 2010-10-05 |
| 1497838551 | Rural Health Care, Inc. | Pharmacy | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-10-23 |
| 1124116090 | John T Phipps | Social Worker | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-10-10 |
| 1831128560 | Jack Edward Pulwers Jr. | Internal Medicine | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-07-03 |
| 1477529311 | Rural Health Care Incorporated | Clinic/Center | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702978 | Able Behavioral Health Center | Registered Nurse | Orange Blossom Manor Mb4 P92, Blk 8, Interlachen, FL 32148 | 2020-05-22 |
| 1205307188 | Luis Miguel Nunez Arroyo | General Practice | 1114 Fl-20, Interlachen, FL 32148 | 2018-12-17 |
| 1023329067 | Metro Pharmaceutical Services Inc | Pharmacy | 126-1 South Cr 315, Interlachen, FL 32148 | 2010-06-24 |
| 1326118308 | Raymond S Rood IIi | Pharmacist | 1213 Hwy 20, Interlachen, FL 32148 | 2006-11-08 |
| 1609971431 | Holiday Cvs LLC | Pharmacy | 1141 Highway 20, Interlachen, FL 32148 | 2006-09-14 |
| 1124026117 | Gerardo Antonio Pedroza-sierra | General Practice | 1114 Sr 20, Suite 300, Interlachen, FL 32148 | 2005-07-13 |
| 1487054680 | Tracy Lynn Steinmetz | Community Health Worker | 822 Selma Ave, Interlachen, FL 32148-2570 | 2014-08-26 |
| 1063749737 | Norma Iris Lopez-banuchi | Licensed Practical Nurse | 194 Reaves Ave, Interlachen, FL 32148-3632 | 2009-11-17 |
| 1740721968 | Meagan Feibelman | Specialist/Technologist | 838 Lake Shore Ter, Interlachen, FL 32148-4301 | 2017-03-20 |
| 1861646663 | Starr Hancock Gainey | Community Health Worker | 403 Walker Dr, Interlachen, FL 32148-4370 | 2008-11-06 |
| Find all providers in zip 32148 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
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| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | INTERLACHEN |
| Zip Code | 32148 |
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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.