CERAVOLO & CORDERO (NPI# 1760784854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760784854 |
| Entity Type | Organization |
| Organization Name | CERAVOLO & CORDERO |
| Practice Address |
1037 S State Road 7 Suite 217 Wellington FL 33414-6138 |
| Practice Telephone | 5617905700 |
| Practice Fax Number | 5617905701 |
| Mailing Telephone | 5617905700 |
| Mailing Fax Number | 5617905701 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | DR. JOSEPH JAMES CERAVOLO (PERIODONTIST) |
| Authorized Official Telephone | 5617905700 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
12671 | FL | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10720 | FL | Dental Providers |
| Street Address |
1037 S STATE ROAD 7 SUITE 217 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408047 | Todd Adam Gersten | Internal Medicine | 1037 S State Road 7, Suite 303, Wellington, FL 33414-6140 | 2005-06-23 |
| 1710493739 | Yasmany Dominguez | Family Medicine | 1037 S State Road 7, Wellington, FL 33414-6138 | 2017-12-28 |
| 1164872545 | Yauna Williams | Nurse Practitioner | 1037 S State Road 7, Wellington, FL 33414-6138 | 2016-06-16 |
| 1770942328 | Sarah Gaynor | Physical Therapist | 1037 S State Road 7, 111, Wellington, FL 33414-6138 | 2016-02-10 |
| 1417342759 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1037 S State Road 7, Suite 303, Wellington, FL 33414-6140 | 2015-04-03 |
| 1336538289 | Ceravolo & Ceravolo, Pa | Dentist | 1037 S State Road 7, Suite 217, Wellington, FL 33414-6138 | 2015-01-15 |
| 1083020408 | Sheena L. Urdaz | Physician Assistant | 1037 S State Road 7, Wellington, FL 33414-6138 | 2014-07-07 |
| 1770913543 | Selena Buongiorno | Physician Assistant | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2013-11-15 |
| 1952743395 | Sue Yang | Dentist | 1037 S State Road 7, Suite 215, Wellington, FL 33414-6138 | 2013-07-26 |
| 1417294612 | Shane Michael Zacharewicz | Dentist | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407298227 | J'nelle Delica | Dentist | 3319 S State Road 7 Ste 315, Wellington, FL 33449-8147 | 2013-07-22 |
| 1316225121 | Florida Institute for Periodontics & Dental Implants, P.a. | Dentist | 1300 Corporate Center Way, Suite 204, Wellington, FL 33414-8599 | 2011-07-27 |
| 1932628369 | Delicate Periodontics and Implant Dentistry | Dentist | 3319 S State Road 7 Ste 315, Wellington, FL 33449-8147 | 2017-09-18 |
| 1336538289 | Ceravolo & Ceravolo, Pa | Dentist | 1037 S State Road 7, Suite 217, Wellington, FL 33414-6138 | 2015-01-15 |
| 1013092170 | Joseph James Ceravolo | Dentist | 1037 S State Road 7, Ste. 217, Wellington, FL 33414-6138 | 2006-10-26 |
| 1740381037 | Elliott Weidman | Dentist | 13889 Wellington Trce, Wellington, FL 33414-2121 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
| 1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
| 1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
| 1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
| 1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
| 1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
| 1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.