GUILHERME JOSE AGNOLETTO (NPI# 1902374630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902374630 |
| Entity Type | Individual |
| Full Name | GUILHERME JOSE AGNOLETTO |
| Credential | MD |
| Practice Address |
800 Prudential Drive Weaver Tower 11th Floor Jacksonville FL 32207 |
| Practice Telephone | 9043886518 |
| Practice Fax Number | 9043841005 |
| Mailing Telephone | 9043886518 |
| Mailing Fax Number | 9043841005 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 27878 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF MEDICINE LICENSE NUMBER | 27878 | 01 |
| Street Address |
800 PRUDENTIAL DRIVE WEAVER TOWER 11TH FLOOR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1225548589 | Rachel Ablavi Noameshie | Nurse Practitioner | 1611 Mayfair Rd, Jacksonville, FL 32207 | 2017-10-01 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013436252 | Ryan N Pafford | Neurological Surgery | University of Florida Health, 580 West 8th Street, Tower 1, 8th Floor, Jacksonville, FL 32209 | 2017-09-19 |
| 1144586116 | Anil Kumar Roy | Neurological Surgery | 800 Prudential Dr Fl B11, Jacksonville, FL 32207-8202 | 2012-04-04 |
| 1437487709 | Andrew Brian Shaw | Neurological Surgery | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2009-11-25 |
| 1790965325 | Stephen Scott Scibelli | Neurological Surgery | 3627 University Blvd S Suite 355, Memorial Neurosurgery Group, Jacksonville, FL 32216 | 2007-11-12 |
| 1477754513 | Michael J Petr | Neurological Surgery | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666 | 2007-05-29 |
| 1063500015 | Amos Olabisi Dare | Neurological Surgery | 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211 | 2006-10-11 |
| 1104911601 | Neurosurgery Consultants Pa | Neurological Surgery | 215 Station Street, Jacksonville, NC 28546 | 2006-10-03 |
| 1255373528 | Kaveh Barami | Neurological Surgery | 3627 University Boulevard South, Suite 355, Jacksonville, FL 32216-8030 | 2006-06-12 |
| 1295773943 | Sean Hsu | Neurological Surgery | 215 Station St, Jacksonville, NC 28546-6304 | 2006-06-03 |
| 1952390312 | Kent Christopher New | Neurological Surgery | 4205 Belfort Road, Suite 3075 Joe Adams Building, Jacksonville, FL 32216 | 2005-10-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.