JERRY WIMBERLY (NPI# 1831361179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831361179 |
| Entity Type | Individual |
| Full Name | JERRY WIMBERLY |
| Practice Address |
12110 Ne Miami Ct North Miami FL 33161-5354 |
| Practice Telephone | 3056853796 |
| Mailing Telephone | 3056853796 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | FL | Other Service Providers |
| Street Address |
12110 NE MIAMI CT |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33161-5354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365907 | Silvia Maria Sanchez Del Campo | General Practice | 412-436 Ne 125th St, North Miami, FL 33161 | 2018-05-02 |
| 1841718806 | Christina Collier | Student in an Organized Health Care Education/Training Program | 12046 Ne 16th Ave, Apt. 5105, Miami, FL 33161 | 2017-08-30 |
| 1477076768 | Mariline Suit | Assisted Living Facility | 960 Ne 136 Street, North Miami, FL 33161 | 2017-07-19 |
| 1588186910 | Virtuous Care & Staffing, Inc. | In Home Supportive Care | 1525 Ne 136th Street, Miami, FL 33161 | 2017-07-07 |
| 1881043222 | Elitane Rinville | Counselor | 11422 Ne 13 Ave., Miami, FL 33161 | 2016-06-07 |
| 1992183529 | India Bass | Counselor | 12635 Ne Miami Ct, North Miami, FL 33161 | 2015-05-14 |
| 1659775781 | Loralei Ann Magadia Parchejo | Pharmacy Technician | 173 Ne 108th St, Miami Shores, FL 33161 | 2014-10-17 |
| 1912307513 | Louise Marjori Paul | Nurse Practitioner | 1190 N.w. 125th Street, Chen Medical North Miami (125th), North Miami, FL 33161 | 2014-09-02 |
| 1598185860 | Institute of Wholistic Empowerment | Counselor | 1065 Ne 125 Street, Suite 317a, North Miami, FL 33161 | 2014-04-24 |
| 1689095689 | Sandra Batista | Counselor | 11031 Ne 6th Avenue, Miami, FL 33161 | 2013-12-18 |
| Find all providers in zip 33161 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032061 | Physician Access Urgent Care Group, LLC | Contractor | 655 Nw 119th St, North Miami, FL 33168-2522 | 2008-05-05 |
| 1659732519 | Norma Flores | Contractor | 1065 Ne 125th St Ste 300, North Miami, FL 33161-5833 | 2016-03-18 |
| 1376902270 | Paola C Ley | Contractor | 1065 Ne 125th Street, Suite 300, North Miami, FL 33161 | 2016-02-19 |
| 1013340637 | Medamax Mso, LLC | Contractor | 12555 Biscayne Blvd, Suite 480, North Miami, FL 33181-2522 | 2013-08-19 |
| 1184872178 | Physician Access Group, LLC | Contractor | 655 Nw 119th St, North Miami, FL 33168-2522 | 2008-09-03 |
| 1891985628 | Finlay Medical Practice Inc | Contractor | 527 Ne 124th St, North Miami, FL 33161-5423 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MIAMI |
| Zip Code | 33161 |
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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.