MRS. LAURIE ANN BOHLER (NPI# 1003057324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003057324 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE ANN BOHLER |
| Credential | CPHT |
| Practice Address |
2104 Massey Ave Branch Medical Clinic Nas Mayport Jacksonville FL 32224 |
| Mailing Address |
244 Otterwood Ct Jacksonville FL 32225-3900 |
| Practice Telephone | 9042704205 |
| Practice Fax Number | 9042704454 |
| Mailing Telephone | 9042200459 |
| Mailing Fax Number | 9042200459 |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 180106834480059 | FL | Pharmacy Service Providers |
| Street Address |
2104 MASSEY AVE BRANCH MEDICAL CLINIC NAS MAYPORT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141057 | Eduardo Corvison | Registered Nurse | 2104 Massey Ave, Nbhc Naval Station Mayport, Jacksonville, FL 32228-0148 | 2017-01-26 |
| 1336681337 | Justin Hoblet | Physical Therapist | 2104 Massey Ave, Jacksonville, FL 32228 | 2016-11-08 |
| 1699060525 | Noel Antonio Martinez | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228-0148 | 2011-06-20 |
| 1548552201 | Wasim S Mohamed | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228-0148 | 2011-05-12 |
| 1942512231 | Derrick Lavar Raysor | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228 | 2010-07-02 |
| 1962661363 | Gerald Derand Jackson | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1942550454 | Gillian Teresa Cain | Pharmacy Technician | 101 Fairfax Ct, Jacksonville, NC 28540-4092 | 2012-09-12 |
| 1821231952 | Ki'ana Kentece Glynn | Pharmacy Technician | 1446 Easter St, Jacksonville, FL 32211-5208 | 2009-04-20 |
| 1811141260 | Ordrey L Denton | Pharmacy Technician | 1812 Oakwood Apartments, 164, Jacksonville, AR 72076 | 2008-11-12 |
| 1265635619 | Eldina Sunjic | Pharmacy Technician | 7920 Los Robles Ct, Jacksonville, FL 32256-7718 | 2007-06-05 |
| 1639266497 | Lyudmila Chayka | Pharmacy Technician | 5909 University Blvd, Jacksonville, FL 32216 | 2006-10-05 |
| 1376642439 | Andrea Ellen Bergoich | Pharmacy Technician | 12402 Safeshelter Dr S, Jacksonville, FL 32225-1783 | 2006-09-22 |
| 1669570800 | Lenore Helen Huskey | Pharmacy Technician | 8226 Philips Hwy, Jacksonville, FL 32256-1240 | 2006-09-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on MRS. LAURIE ANN BOHLER.
| 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.