MARQUISA DENISE GILLARD (NPI# 1700440666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700440666 |
| Entity Type | Individual |
| Full Name | MARQUISA DENISE GILLARD |
| Practice Address |
217 E Mirror Lake Dr Apt A Fruitland Park FL 34731-3274 |
| Practice Telephone | 3525049261 |
| Mailing Telephone | 3525049261 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities | |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
217 E MIRROR LAKE DR APT A |
| City | FRUITLAND PARK |
| State | FL |
| Zip Code | 34731-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417403700 | Omni Caring Services | Custodial Care Facility | 36154 S. Grays Airport Road, Fruitland Park, FL 34731 | 2016-08-28 |
| 1386059707 | The Medicine Chest - Spanish Springs Town Square, LLC | Pharmacy | 2468 Us Highway 441/27 Ste 105, Fruitland Park, FL 34731 | 2014-06-24 |
| 1578989588 | Next Door Home Health D3 LLC | Home Health | 2405 N. Hwy 27/441, Bldg. 2, Fruitland Park, FL 34731 | 2014-03-14 |
| 1912320219 | Nicholas Frank Romano | Speech-Language Pathologist | 105 East Fruitland Street, Fruitland Park, FL 34731 | 2014-01-23 |
| 1184989295 | Jennifer Nasrin Paul | Chiropractor | 3261 U.S. Hwy. 27/441, Suite A1, Fruitland Park, FL 34731 | 2012-07-05 |
| 1093085391 | Donald E Smith | Hearing Instrument Specialist | 2468 Us Hwy 441 Suite 104, Fruitland Park, FL 34731 | 2012-01-04 |
| 1336451848 | Lavette Denise Gulley | Chore Provider | 241 Walters Place, Fruitland Park, FL 34731 | 2010-07-13 |
| 1689844060 | Walter Edgar Macdonell | Dentist | 02313 Hwy 27-441, Fruitland Park, FL 34731 | 2008-03-03 |
| 1649467085 | James Francis Coy | General Practice | 2468 Highway 441, Suite 202, Fruitland Park, FL 34731 | 2007-10-01 |
| 1740402809 | Ralph Edward Toombs | Dentist | 02313 N Hwy 27 441, Friutland Park, FL 34731 | 2007-05-02 |
| Find all providers in zip 34731 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FRUITLAND PARK |
| Zip Code | 34731 |
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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.