TONY VICK (NPI# 1689142002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689142002 |
| Entity Type | Individual |
| Full Name | TONY VICK |
| Credential | PMD, CER. AT |
| Practice Address |
1000 Waterman Way Tavares FL 32778-5266 |
| Mailing Address |
13326 Sea Breeze Ln Grand Island FL 32735-9203 |
| Practice Telephone | 3522533857 |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | PMD18799 | FL | Emergency Medical Service Providers |
| Street Address |
1000 WATERMAN WAY |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841044 | David G Koo | Family Medicine | 1000 Waterman Way, Tavares, FL 32778 | 2005-06-18 |
| 1982227591 | Mariel Battung Delos Santos | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-05-19 |
| 1134748791 | Grace Dirani | Physical Therapy Assistant | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-04-14 |
| 1568098135 | Michelle Maes | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-16 |
| 1326673211 | Jessica Nadona Sweet | Speech-Language Pathologist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-11 |
| 1518502327 | Victoria Rose Gerace | Dietitian, Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-11-15 |
| 1396388674 | Christopher Thomas Jacob | Nurse Anesthetist, Certified Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-10-19 |
| 1851940035 | Florida Hospital Waterman Inc | Rehabilitation Unit | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-09-10 |
| 1841851243 | Martha Georgette Velez | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-06-26 |
| 1437623998 | Bryan James Mccall | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154047 | Richard James Valentine | Emergency Medical Technician, Paramedic | 2712 Miracle Pkwy, Cape Coral, FL 33914-3801 | 2020-08-14 |
| 1265057756 | Michael Enrique Mejia | Emergency Medical Technician, Paramedic | 1 Jeff Fuqua Blvd, Orlando, FL 32827-4392 | 2020-06-10 |
| 1932723012 | Dustin Comer | Emergency Medical Technician, Paramedic | 5855 Cargo Rd, Orlando, FL 32827-4349 | 2020-06-03 |
| 1528682010 | Symone Hawes | Emergency Medical Technician, Paramedic | 2566 Nw 86th Ave, Coral Springs, FL 33065-5338 | 2020-06-01 |
| 1396369989 | Andrew Finkley | Emergency Medical Technician, Paramedic | 2801 2nd Ave S, Saint Petersburg, FL 33712-1003 | 2020-05-30 |
| 1538709670 | Daniel James Hages II | Emergency Medical Technician, Paramedic | 6804 120th Pl, Largo, FL 33773-3513 | 2020-01-07 |
| 1619531464 | Estefany Laura Duarte | Emergency Medical Technician, Paramedic | 8565 Nw 5th Ter Apt 1403, Miami, FL 33126-3885 | 2019-04-26 |
| 1518481886 | Merrill Camel | Emergency Medical Technician, Paramedic | 8445 Sw 185th St, Cutler Bay, FL 33157-7237 | 2017-07-28 |
| 1265965008 | David Charles Ellner | Emergency Medical Technician, Paramedic | 410 Sixth Avenue East, Rm # 123-b, Bradenton, FL 34208-1928 | 2017-04-08 |
| 1881046340 | Christian Heskestad | Emergency Medical Technician, Paramedic | 1465 Ne 121st St, Apt 514, North Miami, FL 33161-6540 | 2016-07-08 |
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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.