AGENIXED CORPORATION (NPI# 1700095130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700095130 |
| Entity Type | Organization |
| Organization Name | AGENIXED CORPORATION |
| Practice Address |
1001 Se Ocean Blvd Suite 105 Stuart FL 34996-2511 |
| Mailing Address |
Po Box 2380 Palm City FL 34991-7380 |
| Practice Telephone | 7722886558 |
| Practice Fax Number | 7722886537 |
| Mailing Telephone | 7722886558 |
| Mailing Fax Number | 7722886537 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAFAEL A CASTRO (PRESIDENT) |
| Authorized Official Telephone | 7722886558 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208D00000X | General Practice | ME25001 | FL | Allopathic & Osteopathic Physicians |
| X | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME 25001 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1001 SE OCEAN BLVD SUITE 105 |
| City | STUART |
| State | FL |
| Zip Code | 34996-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640169 | Ahmad Fadel | Internal Medicine | 1001 Se Ocean Blvd, Suite 103c, Stuart, FL 34996-2511 | 2006-07-31 |
| 1124584834 | Stuart Hospitalist LLC | Internal Medicine | 1001 Se Ocean Blvd, Stuart, FL 34996-2511 | 2019-02-18 |
| 1891032850 | Margo Cox | Nurse Practitioner | 1001 Se Ocean Blvd, Suite 101, Stuart, FL 34996-2596 | 2013-01-10 |
| 1952668121 | Donald R Cox Md Pa | Dermatology | 1001 Se Ocean Blvd, Suite 101, Stuart, FL 34996-2511 | 2012-04-12 |
| 1730327909 | Teri-ross Icyda | Dentist | 1001 Se Ocean Blvd, Stuart, FL 34996-2511 | 2009-01-27 |
| 1184834640 | William Edward Hinsley Jr. | Dentist | 1001 Se Ocean Blvd, Suite 107, Stuart, FL 34996-2511 | 2007-05-23 |
| 1487787834 | Elizabeth Coleen Ryan | Occupational Therapist | 1001 Se Ocean Blvd, Suite 104c, Stuart, FL 34996-2511 | 2007-03-14 |
| 1851424295 | Carey Joletta Kent | Occupational Therapist | 1001 Se Ocean Blvd, Suite 104c, Stuart, FL 34996-2511 | 2007-03-14 |
| 1669526497 | Gregory M Klym | Dentist | 1001 Se Ocean Blvd, Suite 102, Stuart, FL 34996-2511 | 2007-01-22 |
| 1043395882 | Donald Roger Cox | Dermatology | 1001 Se Ocean Blvd, Suite 101, Stuart, FL 34996-2511 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061578 | See and Sun Optical | Technician/Technologist | 3736 Se Ocean Blvd, Stuart, FL 34996 | 2020-01-02 |
| 1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
| 1790273944 | Harbour Bay Pharmacy LLC | Pharmacy | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 | 2018-04-24 |
| 1053828921 | Barbara Ann Ohara | Counselor | 2929 S.e. Ocean Blvd., Stuart, FL 34996 | 2018-01-02 |
| 1417370651 | National Laboratories, LLC | Clinical Medical Laboratory | 1411 Se Ocean Avenue, Stuart, FL 34996 | 2014-01-23 |
| 1972871747 | Cara Montgomery | Counselor | 850 Se Stafford Dr, Stuart, FL 34996 | 2011-12-08 |
| 1053557603 | Glenn Allen Feigen | Licensed Practical Nurse | 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 | 2009-01-05 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
| 1912129214 | Eyewear of Stuart, Inc. | Durable Medical Equipment & Medical Supplies | 2090 S.e. Ocean Blvd, Stuart, FL 34996 | 2007-05-03 |
| Find all providers in zip 34996 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271699 | Treasure Coast Physical Medicine, LLC | General Practice | 529 Se Palm Beach Rd, Suite 102, Stuart, FL 34994-2477 | 2013-04-30 |
| 1669816583 | Ralph H. Greenwasser Sr. | General Practice | 6 Castle Hill Way, Stuart, FL 34996-6507 | 2013-04-22 |
| 1194715367 | Bernice Marie Burkarth | General Practice | 1201 Se Indian St, Stuart, FL 34997-5688 | 2005-10-27 |
| 1760909535 | Tia Lynn Fox | General Practice | 1050 Se Monterey Rd Ste 101, Stuart, FL 34994-4512 | 2017-08-23 |
| 1194241729 | David Jose Cohen | General Practice | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2017-08-15 |
| 1881085827 | Amilcar M Lominchar | General Practice | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2015-02-12 |
| 1902204860 | Richard A Dube | General Practice | 1500 Se Palm Beach Rd, Stuart, FL 34994-4044 | 2014-12-09 |
| 1457631350 | Gary Bradley | General Practice | 2854 Se Federal Hwy, Stuart, FL 34994 | 2011-08-23 |
| 1194992495 | Zofia Susan Zukotynski | General Practice | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 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 |
| 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.