KIMBER VASQUEZ (NPI# 1689803330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689803330 |
| Entity Type | Individual |
| Full Name | KIMBER VASQUEZ |
| Credential | MD |
| Practice Address |
950 County Road 17a W Avon Park FL 33825-2164 |
| Practice Telephone | 8634523000 |
| Practice Fax Number | 8634523077 |
| Mailing Telephone | 8634523000 |
| Mailing Fax Number | 8634523069 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN293 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
950 COUNTY ROAD 17A W |
| City | AVON PARK |
| State | FL |
| Zip Code | 33825-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457422 | Delores R Garcia-chung | Internal Medicine | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2005-09-16 |
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
| 1922583988 | Adriana Gil | Dental Hygienist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2018-09-26 |
| 1831684430 | Elizabeth Rauch | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-06-26 |
| 1336649144 | Teresa Pierre Mcdowall | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-02-19 |
| 1154702348 | Holly Marie Bailey | Social Worker | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2015-06-12 |
| 1609299668 | Misilene Fulse | Pharmacist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2014-01-28 |
| 1962762799 | Natalie Etienne | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-27 |
| 1366702698 | Dawn Carla Mccue | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537610 | Cristina Marie Rivera | Physical Therapy Assistant | 1010 Us-27, Avon Park, FL 33825 | 2018-11-19 |
| 1417404021 | Tamara Jean Pierre IIi | Home Health | 742 S Fair View Terr, Avon Park, FL 33825 | 2016-09-01 |
| 1700017118 | Highlands Advanced Rheumatology and Arthritis Center Pl | Internal Medicine | 596 Us 27 N, Avon Park, FL 33825 | 2009-08-03 |
| 1942347083 | National Mentor Healthcare, LLC | Intermediate Care Facility, Mentally Retarded | 55 E. College Dr., Avon Park, FL 33825 | 2007-01-30 |
| 1508803925 | Tina Mclean | Physician Assistant | 1006 West Pleasant Street, Avon Park, FL 33825 | 2006-06-02 |
| 1265901292 | Stephanie Marie De Silva | Speech-Language Pathologist | 1010 Us-27, Avon Park, FL 33825 | 2018-11-20 |
| 1093200693 | Sasha Arbona | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 | 2018-06-26 |
| 1851700553 | Marisol Caraballo | Internal Medicine | 596 Us Highway 27 N, Avon Park, FL 33825 | 2014-08-06 |
| 1952357816 | Sunaina Khurana | Family Medicine | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2006-05-25 |
| 1467093203 | Grace Salagala | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2019-10-02 |
| Find all providers in zip 33825 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 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.