MA CORAZON DULCE FORREST (NPI# 1790324721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790324721 |
| Entity Type | Individual |
| Full Name | MA CORAZON DULCE FORREST |
| Practice Address |
499 Alt Keene Rd Largo FL 33771-1652 |
| Mailing Address |
25117 Sw Parkway Ave Ste D Wilsonville OR 97070-9697 |
| Practice Telephone | 7275864211 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT31007 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
499 ALT KEENE RD |
| City | LARGO |
| State | FL |
| Zip Code | 33771-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497811624 | Olav J Van Hunnik | Physical Therapist | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2006-12-30 |
| 1831799162 | Souleika Morris | Physical Therapy Assistant | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2020-10-27 |
| 1154937514 | Matthew T Lemley | Occupational Therapist | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2020-09-21 |
| 1255987384 | Tauwanta Tonnie Waybright | Physical Therapy Assistant | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2019-08-14 |
| 1295380962 | Steven Enage | Physical Therapist | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2019-08-08 |
| 1700445491 | Melissa Charlene Shaw | Physical Therapy Assistant | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2019-06-06 |
| 1760047856 | Ciara Mcgue | Speech-Language Pathologist | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2019-05-05 |
| 1861969198 | Jamie Dale West | Occupational Therapy Assistant | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970822 | Keys2health LLC | Nurse Practitioner | 1050 Starkeyrd. Unit 606, Largo, FL 33771 | 2020-07-23 |
| 1194210906 | Agape Gem Care LLC | In Home Supportive Care | 2945 E Bay Dr Ste A, Largo, FL 33771 | 2018-06-25 |
| 1487162723 | Aim Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8380 Ulmerton Rd Ste 302, Largo, FL 33771 | 2018-01-22 |
| 1629511720 | Jane Maguire Inc | Counselor | 1101 Belcher Rd. S., Suite J., Largo, FL 33771 | 2016-11-22 |
| 1477890283 | Celisa K Bonner | Social Worker | 13787 Belcher Road S., Suite 220, Largo, FL 33771 | 2013-01-14 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1104060391 | Letitia A Mcintosh-reid | Behavioral Analyst | 940 Starkey Road, # 3105, Largo, FL 33771 | 2009-05-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| Find all providers in zip 33771 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916843 | Personal Touch Medical Spa LLP | Physical Therapist | 1450 Mercantile Lane Suite 221, Largo, MD 20774 | 2017-08-01 |
| 1316197395 | Anointed Hands Physical Therapy, LLC | Physical Therapist | 860 Largo Center Dr, Largo, MD 20774-3705 | 2008-09-25 |
| 1497287361 | Holistic Health & Wellness Medical Spa | Physical Therapist | 1450 Mercantile Ln, 221, Largo, MD 20774-5376 | 2017-03-30 |
| 1518238153 | Sagowdaun Shaw | Physical Therapist | 9035 Bryan Dairy Rd, Largo, FL 33777-1104 | 2012-01-12 |
| 1518118926 | Anointed Hands Physical Therapy, LLC | Physical Therapist | 860 Largo Center Dr, Largo, MD 20774-3705 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107544 | Erin F Black | Physical Therapist | 2300 Bluff Oak Way Apt 5104, Tallahassee, FL 32311-6129 | 2020-02-28 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1235697574 | Promobility Care Physical Therapy LLC | Physical Therapist | 11204 58th Street Cir E, Parrish, FL 34219-4513 | 2019-03-05 |
| 1255821542 | Lacey Smith | Physical Therapist | 5429 Highlands Vista Cir, Lakeland, FL 33812-5216 | 2018-05-13 |
| 1770005720 | Leading Edge Rehabilitation LLC | Physical Therapist | 19348 Wind Dancer St, Lutz, FL 33558-9054 | 2017-07-12 |
| 1558896522 | Emily Routh | Physical Therapist | 6220 Willow Beck Ln Apt 203, Bradenton, FL 34202-5195 | 2017-04-26 |
| 1609312545 | Pamala Galloway Feehan | Physical Therapist | 7500 Monarch Ln, Fort Myers, FL 33912-2371 | 2017-01-17 |
| 1588106215 | Vincenzo Bombara | Physical Therapist | 6000 Nw 61st St, Parkland, FL 33067-4411 | 2016-11-11 |
| 1437519196 | Daniel Collins | Physical Therapist | 1616 Raincrow Dr, Saint Johns, FL 32259-9080 | 2016-02-24 |
| 1578928420 | Country Club Pt Pa | Physical Therapist | 1331 Whispering Ln, Venice, FL 34285-6449 | 2015-12-19 |
| Find all providers with the same taxonomy | ||||
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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.