GUIBRIEL SAMPLE (NPI# 1740725209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740725209 |
| Entity Type | Individual |
| Full Name | GUIBRIEL SAMPLE |
| Practice Address |
3100 Sunset Landing Dr Jacksonville FL 32226-4446 |
| Practice Telephone | 9045182143 |
| Mailing Telephone | 9045182143 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
3100 SUNSET LANDING DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32226-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909501 | A1 Staffing, Inc | Acupuncturist | 17982 North Main Street, Jacksonvile, FL 32226 | 2020-07-20 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1922554252 | Debra Richards | Custodial Care Facility | 14121 Devan Lee Dr W, Jacksonville, FL 32226 | 2016-08-28 |
| 1750672333 | Kristen Duffney | Behavioral Analyst | 12665 White Cedar Trail, Jacksonville, FL 32226 | 2011-04-29 |
| 1780782466 | Alisha Stanford | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| 1760454037 | Christopher B Scuderi | Family Medicine | 3122 New Berlin Road, Uf New Berlin Family Medicin Center, Jacksonville, FL 32226 | 2006-02-02 |
| 1902418262 | Hannah Lynn Skipper | Pharmacist | 12387 Yellow Bluff Rd, Jacksonville, FL 32226 | 2020-08-18 |
| 1720500093 | Hope and A Future Ministries Inc | Counselor | 7334 Berry Ave, Jacksonville, FL 32226 | 2017-07-08 |
| 1942743430 | Sarah Larrabee | Behavioral Analyst | 13815 Devan Lee Dr E, Jacksonville, FL 32226 | 2016-12-01 |
| 1447350988 | Kristan David Podvia | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-24 |
| Find all providers in zip 32226 | ||||
| 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 |
|---|---|---|---|---|
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| 1366052623 | New Horizons Supports & Services Inc. | Clinic/Center | 101 Century 21 Dr Ste 203, Jacksonville, FL 32216-9293 | 2020-08-03 |
| 1861041220 | Markedia Louise Daniels | Clinic/Center | 2482 Wylene St, Jacksonville, FL 32209-4576 | 2019-09-09 |
| 1699320838 | True Angels Provider Care Services LLC | Clinic/Center | 5115 Clarendon Rd, Jacksonville, FL 32205-7205 | 2019-08-05 |
| 1538728001 | Tammy Toombs | Clinic/Center | 6722 Arlington Expy, Jacksonville, FL 32211-7234 | 2019-06-10 |
| 1063970358 | Katrina M Johnson | Clinic/Center | 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 | 2019-03-06 |
| 1306303235 | A Bit Above Support Services | Clinic/Center | 6120 Golden Grove Rd W, Jacksonville, FL 32244-2633 | 2019-02-27 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1336638782 | Sharlana Wilson | Clinic/Center | 7854 Smyrna St, Jacksonville, FL 32208-3160 | 2018-05-01 |
| 1770088346 | Marquita Lashell Tinney | Clinic/Center | 9086 Gloucestershire Ct, Jacksonville, FL 32219-4398 | 2018-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32226 |
Please comment or provide details below to improve the information on GUIBRIEL SAMPLE.
| 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.