PATRICIA DEVILLIERS (NPI# 1669568861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568861 |
| Entity Type | Individual |
| Full Name | PATRICIA DEVILLIERS |
| Credential | DDS |
| Practice Address |
14730 2nd Avenue Cir Ne Bradenton FL 34212-5577 |
| Practice Telephone | 2057905866 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN21483 | FL | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5530 | AL | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DN21483 | FL | Dental Providers |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
DN21483 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
5530 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009939328 | 05 | |
| AL | BCBS | 051537045 | 01 |
| AL | BCBS | 051537044 | 01 |
| AL | 009939299 | 05 | |
| RAILROAD MEDICARE | P00373688 | 01 | |
| AL | BCBS | 051537040 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6950 Outreach Way, North Port, FL 342873405 | 9418613820 | |
| 2200 Ringling Blvd, Sarasota, FL 342376102 | 9418612900 | 9418612719 |
| Street Address |
14730 2ND AVENUE CIR NE |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689124158 | 3d-dentistry LLC | Dentist | 14730 2nd Avenue Cir Ne, Bradenton, FL 34212-5577 | 2016-10-09 |
| 1093187718 | Patricia Devilliers Dds PC Co | Clinical Medical Laboratory | 14730 2nd Avenue Cir Ne, Bradenton, FL 34212-5577 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073806352 | Manatee Pathology Associates Pa | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2011-05-19 |
| 1477672772 | Zoltan Mayer | Pathology | 2020 59th Street West, Bradenton, FL 34209 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389049 | Frantz Sainvil | Pathology | 4945 Sw 66th Ter, Davie, FL 33314-4351 | 2020-09-02 |
| 1235630575 | Laura Scheibley Hair | Pathology | 5661 Tower Rd, Land O Lakes, FL 34638-3045 | 2018-02-22 |
| 1669995015 | Jessica Aoun | Pathology | 1611 Nw 12 Avenue Miami, Fl 33136, Holtz Center, Room 2044, Miami, FL 33136 | 2017-07-18 |
| 1548499387 | Maria Angelica Vento De Munoz | Pathology | 21332 Ne 18th Pl, Miami, FL 33179-1550 | 2009-07-14 |
| 1164683132 | Matthew Reeves Simmons | Pathology | 6238 Sw 85th St, Gainesville, FL 32608-8512 | 2008-06-22 |
| 1962625624 | Kimiko Takezawa | Pathology | 13770 58th St N, Suite 309, Clearwater, FL 33760-3759 | 2007-04-11 |
| 1407984602 | Robert Emmett Brierty | Pathology | 1000 Marwalt Dr, Ft Walton Beach, FL 32547-6795 | 2007-03-01 |
| 1740353002 | Briana Claire Gleason | Pathology | 9229 Nw 24th Ln, Gainesville, FL 32606-9144 | 2006-11-16 |
| 1861585648 | Nilofar J Ali | Pathology | 518 Springcreek Dr, Longwood, FL 32779-3353 | 2006-10-02 |
| 1902903446 | Gertrude Caplivski | Pathology | 2131 Ne 32nd Ave, Ft Lauderdale, FL 33305-1854 | 2006-09-19 |
| Find all providers with the same taxonomy | ||||
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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.