MR. ROBERT GUERTIN III (NPI# 1780059048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780059048 |
| Entity Type | Individual |
| Full Name | MR. ROBERT GUERTIN III |
| Practice Address |
4747 Highlands Place Dr Lakeland FL 33813-2162 |
| Practice Telephone | 7578035224 |
| Practice Fax Number | 8632134907 |
| Mailing Telephone | 7578035224 |
| Mailing Fax Number | 8632134907 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
G635770742880 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4747 HIGHLANDS PLACE DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272702 | D'ondra Loyd | Specialist/Technologist | 8742 Fort Socrum Village Pl, Lakeland, FL 33810-0332 | 2020-07-14 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1487127791 | Tiffany Lauren Ally | Specialist/Technologist | 5473 Pebble Beach Dr, Lakeland, FL 33812-1216 | 2019-01-09 |
| 1902353626 | Armando Campos | Specialist/Technologist | 111 Lake Hollingsworth Dr # 4311, Lakeland, FL 33801-5607 | 2016-09-10 |
| 1871959320 | Jordan Allen | Specialist/Technologist | 1111 Forest Park St, Lakeland, FL 33803-1832 | 2016-01-13 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1578933651 | Christopher Horton | Specialist/Technologist | 4355 Corporate Ave Apt 149, Lakeland, FL 33809-4099 | 2015-10-01 |
| 1275919532 | Danielle Kristine Perrotti | Specialist/Technologist | 1000 Longfellow Blvd, Lakeland, FL 33801-6034 | 2015-08-09 |
| 1598141459 | Dustin Campbell | Specialist/Technologist | 2611 Jennifer Dr, Lakeland, FL 33810-5130 | 2015-08-03 |
| 1154504066 | Joann Hauser | Specialist/Technologist | 1819 Meadowbrook Ave, Lakeland, FL 33803-2536 | 2007-12-13 |
| Find all providers in LAKELAND | ||||
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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.