DAVID FAWKS


Address: 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191
Phone: 9414888884

DAVID FAWKS (NPI# 1922094937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922094937
Entity Type Individual
Full Name DAVID FAWKS
Credential ARNP
Practice Address 1790 E Venice Ave
Suite 204
Venice
FL 34292-3191
Practice Telephone 9414888884
Practice Fax Number 9414885554
Mailing Telephone 9414888884
Mailing Fax Number 9414885554
Enumeration Date 2005-09-26
Last Update Date 2009-02-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP1799382 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MAGELLAN 283694-000 01
FL CIGNA 2080449 01
FL AETNA 7305448 01
FL RAILROAD MEDICARE P00068887 01
FL 304079800 05
FL BCBS FLORIDA Y7307 01

Office Location

Street Address 1790 E VENICE AVE
SUITE 204
City VENICE
State FL
Zip Code 34292-3191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871589028 David M Donahue Psychiatry & Neurology 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 2005-09-23
1962859520 Executive Counseling Solutions, LLC Social Worker 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 2016-05-24
1467845644 First Option Chiropractic LLC Chiropractor 1790 E Venice Ave, Suite 102, Venice, FL 34292-3191 2015-03-11
1043655152 Catherine Eleanor Swift-verly Acupuncturist 1790 E Venice Ave, Venice, FL 34292-3191 2013-05-02
1528311461 Gerald Lynn Horton Social Worker 1790 E Venice Ave, Ste 204, Venice, FL 34292-3191 2012-10-16
1487968996 Rebecca L Rand Counselor 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 2010-07-27
1659415321 Elwira Ewa Kulawik Chiropractor 1790 E Venice Ave, Suite 102, Venice, FL 34292-3191 2007-02-16
1932195187 Cornerstone Psychiatric Services Inc Nurse Practitioner 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 2005-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558754986 Sinafikish Sahlu Pharmacist 11642 Dancing River Dr, Venice, FL 34292 2015-03-10
1922404680 Venice Home Care Services, LLC Home Health 1790 E Venice Ave Ste 201, Venice, FL 34292 2014-11-07
1285078659 Nic 4 Sunset Lake Leasing Assisted Living Facility 1121 Jacaranda Blvd., Venice, FL 34292 2013-04-29
1407161979 Ashley Layne Barnette Social Worker 421 Commercial Court, Suite A, Venice, FL 34292 2010-08-09
1790005387 Nicole Lindsey Morganti Dentist 2393 E Venice Ave, Venice, FL 34292 2010-06-04
1013234608 Suncoast Therapy, LLC Physical Therapist 417 Commercial Ct Ste C, Venice, FL 34292 2010-04-23
1396972246 David J Widmyer Internal Medicine 1500 E Venice Ave Unit 103, Venice, FL 34292 2009-06-18
1063653228 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 345 Jacaranda Blvd, Venice, FL 34292 2009-03-18
1255578001 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 215 Jacaranda Blvd, Venice, FL 34292 2009-01-15
1417027665 Ki M Hassler Internal Medicine 1215 Jacaranda Blvd, Venice, FL 34292 2006-11-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710018932 Michele Nelson Privette Nurse Practitioner 195 Center Rd, Venice, FL 34285-5572 2007-03-08
1932195187 Cornerstone Psychiatric Services Inc Nurse Practitioner 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 2005-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295336832 Marco Desouza Nurse Practitioner 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 2020-11-02
1457950107 Janet Rosemarie Walker Nurse Practitioner 9988 Sw 38th Ave, Ocala, FL 34476-4082 2020-10-23
1104425800 Vijayalakshmi Kumaraguru Nurse Practitioner 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 2020-10-22
1356940217 Smitha Ajesh Nurse Practitioner 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 2020-10-21
1457959066 Kecia Hicks Nurse Practitioner 691 Institution Rd, Defuniak Springs, FL 32433-1850 2020-10-15
1699372003 Rosie Michel Nurse Practitioner 13000 Ne 12th Ave, North Miami, FL 33161-4305 2020-10-08
1952908352 Karen Weinstock Nurse Practitioner 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 2020-10-08
1396342754 Pamela Ziel Nurse Practitioner 545 Lakeside Cir, Sunrise, FL 33326-2136 2020-10-07
1922615608 Urszula Dorfman Nurse Practitioner 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 2020-09-28
1073129136 Karen Harris Nurse Practitioner 28211 Church Rd, Brooksville, FL 34602-6232 2020-09-23
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Competitor

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City VENICE
Zip Code 34292

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Dataset Information

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.

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