GEORGE DOSDOS SACLA (NPI# 1689818742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818742 |
| Entity Type | Individual |
| Full Name | GEORGE DOSDOS SACLA |
| Credential | LMT |
| Practice Address |
339 Racetrack Rd Nw Suite 12 Fort Walton Beach FL 32547-1538 |
| Practice Telephone | 8503683393 |
| Practice Fax Number | 8503985923 |
| Mailing Telephone | 8503683393 |
| Mailing Fax Number | 8503985923 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 39398 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AUTOMOBILE ACCIDENT INSURANCE (PIP) | 22231 | 01 | |
| FL | BLUE CROSS AND BLUE SHIELD | 39398 | 01 |
| FL | WORKERS COMP. | 22203 | 01 |
| Street Address |
339 RACETRACK RD NW SUITE 12 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255418 | Hearinglife Usa Inc | Hearing Aid Equipment | 339 Racetrack Rd Nw, Ste 20, Fort Walton Beach, FL 32547-1538 | 2016-10-07 |
| 1598891426 | Emerald Coast Hearing Associates | Audiologist | 339 Racetrack Rd Nw, Suite 20, Fort Walton Beach, FL 32547-1538 | 2007-02-26 |
| 1669526315 | William Michael Escoffery | Family Medicine | 339 Racetrack Rd Nw, Suite 2, Fort Walton Beach, FL 32547-1538 | 2007-01-22 |
| 1811058266 | Interim Healthcare of Nw Fl Inc | Home Health | 339 Racetrack Rd Nw, Suite 16, Fort Walton Beach, FL 32547-1538 | 2006-12-12 |
| 1457369647 | Peter R. Devuyst | Physician Assistant | 339 Racetrack Rd Nw, Suite 17, Fort Walton Beach, FL 32547-1538 | 2006-08-03 |
| 1578589230 | Mary Forsyth Vasiloff | Audiologist | 339 Racetrack Rd Nw, Suite 20, Fort Walton Beach, FL 32547-1538 | 2006-07-15 |
| 1326018391 | Leo C Chen | Orthopaedic Surgery | 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547-1538 | 2006-01-24 |
| 1972583326 | Emerald Coast Sports Medicine and Orthopaedics, P.a. | Orthopaedic Surgery | 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547-1538 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
| 1699115923 | Wendy Ballasch | Massage Therapist | 184 Brooks St Se Unit 1, Fort Walton Beach, FL 32548-2822 | 2013-07-01 |
| 1114223450 | Ronald G. Dibble | Massage Therapist | 503 Vermont Ave, Fort Walton Beach, FL 32547-3031 | 2011-02-03 |
| 1881908341 | Alexandrea S Mcallaster | Massage Therapist | 90 Beal Pkwy Nw, Suite A-1, Fort Walton Beach, FL 32548-4824 | 2010-07-27 |
| 1396076352 | Melinda C Broadstone | Massage Therapist | 61 Ferry Rd Ne, Fort Walton Beach, FL 32548-5170 | 2010-01-14 |
| 1326226283 | Tara L Bush | Massage Therapist | 193 Coral Dr Sw, Fort Walton Beach, FL 32548-6628 | 2008-02-03 |
| 1053599910 | Eileen R Ahlers Garcia | Massage Therapist | 217 Gilda Pl Nw, Fort Walton Beach, FL 32548-4201 | 2008-02-03 |
| 1417131269 | Cristina Ann Jackson | Massage Therapist | 112 Pinewood Ter, Fort Walton Beach, FL 32548-6328 | 2007-12-28 |
| 1821279241 | Brandy G Porter | Massage Therapist | 223 Gilda Pl Nw, Fort Walton Beach, FL 32548-4201 | 2007-11-14 |
| 1598951378 | Stacy R. Shidemantle | Massage Therapist | 301 Sudduth Cir Ne, Fort Walton Beach, FL 32548-5124 | 2007-09-14 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on GEORGE DOSDOS SACLA.
| 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.