XAVIER DIEGO SEVILLA (NPI# 1760459986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760459986 |
| Entity Type | Individual |
| Full Name | XAVIER DIEGO SEVILLA |
| Credential | M.D. |
| Practice Address |
712 39th St W Bradenton FL 34205 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417484602 |
| Practice Fax Number | 9417479230 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0076653 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP URGENT CARE | 229615 | 01 |
| FL | WELLCARE | 28272 | 01 |
| FL | UNITED HEALTHCARE | 1200274 | 01 |
| FL | AMERIGROUP | 191852 | 01 |
| FL | WELLCARE URGENT CARE | 301386 | 01 |
| FL | BCBS | 47209 | 01 |
| Street Address |
712 39TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777860 | Loris Dover Barton | Nurse Practitioner | 712 39th St W, Manatee Pediatrics, Bradenton, FL 34205-2454 | 2005-08-16 |
| 1942650320 | Mary Walter | Nurse Practitioner | 712 39th St W, Bradenton, FL 34205-2454 | 2016-06-16 |
| 1528421716 | Kaley Chanel Mccrary | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2016-04-04 |
| 1497034649 | Josie Jn Gilles | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2011-08-05 |
| 1295029866 | Mcr Health, Inc. | Obstetrics & Gynecology | 712 39th St W, Bradenton, FL 34205-2454 | 2011-06-01 |
| 1508094178 | Dana Robinson | Physician Assistant | 712 39th St W, Bradenton, FL 34205-2454 | 2009-06-23 |
| 1831294149 | Luis A Montes | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2006-09-13 |
| 1871523795 | Mcr Health, Inc. | Obstetrics & Gynecology | 712 39th St W, Bradenton, FL 34205-2454 | 2006-07-04 |
| 1134196629 | George Jackson Van Buren | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104228543 | Joseph Tm Placheril | Pediatrics | 8623 54th Dr E, Bradenton, FL 34211-9456 | 2014-09-17 |
| 1790111516 | Florida Medical Specialists LLC | Pediatrics | 5305 E State Road 64, Bradenton, FL 34208-5534 | 2013-09-25 |
| 1942596838 | Robert O. Warthen | Pediatrics | 2718 71st Street Ct. W., Bradenton, FL 34209-5319 | 2011-06-20 |
| 1194965681 | Guardian Angel Pediatrics | Pediatrics | 5220 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2009-02-24 |
| 1588681282 | Liliana Palacio | Pediatrics | 5305 State Road 64 East, Bradenton, FL 34208 | 2006-07-17 |
| 1407872849 | Federico A Frias | Pediatrics | 5255 Office Park Blvd, Suite 110, Bradenton, FL 34203-3443 | 2006-07-15 |
| 1912957556 | Helene Rabena Hubbard | Pediatrics | 6040 State Road 70 E Unit B, Bradenton, FL 34203-9720 | 2006-05-12 |
| 1922065713 | Justo Manuel Roman | Pediatrics | 5255 Office Park Blvd Ste 110, Apc Pediatrics, Bradenton, FL 34203-3443 | 2006-04-27 |
| 1821066143 | Cecilia Aman Ladines | Pediatrics | 6040 State Road 70 E, Bradenton, FL 34203-9720 | 2006-03-11 |
| 1780662684 | Joseph T M Placheril | Pediatrics | 8623 54th Drive East, Bradenton, FL 34202 | 2006-01-03 |
| Find all providers in BRADENTON | ||||
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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.