MR. DANIEL EDWARD DE LA GARZA (NPI# 1861685273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861685273 |
| Entity Type | Individual |
| Full Name | MR. DANIEL EDWARD DE LA GARZA |
| Other Name | MR. DANNY EDWARD DE LA GARZA |
| Credential | LMT |
| Practice Address |
6300 N Wickham Rd Melbourne FL 32940-2028 |
| Mailing Address |
4872 Outlook Dr Melbourne FL 32940-2334 |
| Practice Telephone | 3215362173 |
| Mailing Telephone | 3215362173 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 47051 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6300 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728121 | David W Badolato | Family Medicine | 6300 N Wickham Rd, Ste 101, Melbourne, FL 32940-2028 | 2005-05-23 |
| 1366083172 | Elizabeth Evans Jenks | Specialist/Technologist, Other | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2019-10-02 |
| 1376080846 | Lisa Frier Cobbs | Nurse Practitioner | 6300 N Wickham Rd, Ste. 132, Melbourne, FL 32940-2028 | 2017-01-23 |
| 1073059705 | Physical Rehab and Medical Associates Inc | Physical Therapist | 6300 N Wickham Rd, #116, Melbourne, FL 32940-2028 | 2017-01-19 |
| 1972959781 | Top Tier Sports Medicine LLC | Clinic/Center | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2028 | 2016-05-11 |
| 1306180997 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2012-11-20 |
| 1609151752 | Dax Vasiliou | Optometrist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2011-10-19 |
| 1699050393 | Olugbenga Oni | Pharmacist | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2011-10-14 |
| 1669786414 | Deliece Legrande White | Acupuncturist | 6300 N Wickham Rd, Suite 116, Melbourne, FL 32940-2028 | 2010-08-04 |
| 1619295482 | Donna Borresen | Acupuncturist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142638 | Yu Tung Wong | Massage Therapist | 2710 Cozumel Dr Apt 1804, Melbourne, FL 32935-8196 | 2020-10-19 |
| 1841805066 | Jamie Brott | Massage Therapist | 3635 Misty Oak Dr Apt 205, Melbourne, FL 32901-8709 | 2020-09-14 |
| 1730662883 | Donna Jo Billie Secura | Massage Therapist | 1738 Bluebird Ct, Melbourne, FL 32935-4550 | 2018-09-13 |
| 1497259618 | Alexis Janeah Mccreary | Massage Therapist | 3020 Bennett Ln Apt 307, Melbourne, FL 32935-2296 | 2018-03-21 |
| 1508263070 | Trisha Schmalhofer | Massage Therapist | 466 N Harbor City Blvd, Melbourne, FL 32935-6858 | 2014-11-29 |
| 1649679127 | Tamara Gale | Massage Therapist | 260 San Paulo Ct, Melbourne, FL 32904-3944 | 2014-08-20 |
| 1588088256 | Temples Holistic Wellness, LLC | Massage Therapist | 2263 W New Haven Ave # 221, Melbourne, FL 32904-3805 | 2014-02-14 |
| 1639412182 | Roy Alexander Llera | Massage Therapist | 18 W Avenue B, Suite 2, Melbourne, FL 32901-1219 | 2013-04-03 |
| 1548547367 | Kenneth Edwin Muck | Massage Therapist | 1490 Avocado Ave, Melbourne, FL 32935-6532 | 2011-11-08 |
| 1043509011 | Gabriele's Therapeutic Massage Inc | Massage Therapist | 3026 Park Village Way, Melbourne, FL 32935-2266 | 2011-03-30 |
| Find all providers in MELBOURNE | ||||
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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.