VIERGELA DESHOMMES JOSEPH


Address: 2040 Collier Ave Ste A, Fort Myers, FL 33901-8124
Phone: 2392087756

VIERGELA DESHOMMES JOSEPH (NPI# 1649742628) 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) 1649742628
Entity Type Individual
Full Name VIERGELA DESHOMMES JOSEPH
Credential APRN
Practice Address 2040 Collier Ave Ste A
Fort Myers
FL 33901-8124
Mailing Address 610 Weston Rd
Lehigh Acres
FL 33936-7545
Practice Telephone 2392087756
Mailing Telephone 2396033734
Mailing Fax Number 2396033734
Enumeration Date 2019-01-01
Last Update Date 2019-01-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APRN11000711 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2040 COLLIER AVE STE A
City FORT MYERS
State FL
Zip Code 33901-8124

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699286740 Rachel Lynn Ile Myers Nurse Practitioner 14015 Danpark Loop, Fort Myers, FL 33912-6854 2017-10-17
1194077487 Mariya Bozhenok Nurse Practitioner 4101 Evans Ave, Fort Myers, FL 33901 2012-10-10

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Competitor

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City FORT MYERS
Zip Code 33901

Improve Information

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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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