BREVARD FIRST ASSISTANTS, INC. (NPI# 1013005008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013005008 |
Entity Type | Organization |
Organization Name | BREVARD FIRST ASSISTANTS, INC. |
Practice Address |
5190 Cinnamon Fern Blvd Port St John FL 32927-3403 |
Practice Telephone | 3216370553 |
Practice Fax Number | 3216370552 |
Mailing Telephone | 3216370553 |
Mailing Fax Number | 3216370552 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. KELLI STROBEL (PRESIDENT) |
Authorized Official Telephone | 3216370553 |
Authorized Official Credential | RN, RNFA, CNOR, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
2961272 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA NURSING LICENSE | 2961272 | 01 |
Street Address |
5190 CINNAMON FERN BLVD |
City | PORT ST JOHN |
State | FL |
Zip Code | 32927-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538565023 | Susan Guattery Coleman | Dietitian, Registered | 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 | 2014-11-10 |
1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
1659716165 | Tania Melissa Johnson | Social Worker | 5355 Date Palm St, Cocoa, FL 32927 | 2013-05-10 |
1538473137 | Irwin Jaraplasan | Dentist | 5235 Fay Blvd, Cocoa, FL 32927 | 2010-08-06 |
1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
1922035088 | Albino Y Kuon | Psychiatry & Neurology | 4360 North Us1, Cocoa, FL 32927 | 2006-06-26 |
1801855424 | Faye Ellen O'rourke | Nurse Practitioner | 7227 N. Us Hwy. 1, Port St. John, FL 32927 | 2006-03-22 |
1063965275 | Tiffany Williams-brown | Nurse Practitioner | 860 Camp Rd, Cocoa, FL 32927 | 2016-07-25 |
Find all providers in zip 32927 |
Taxonomy Code | 364SP2800X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Perioperative |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184263873 | Toni Way | Clinical Nurse Specialist | 230 Sw 2nd Ave Apt 310, Gainesville, FL 32601-6267 | 2019-12-30 |
1134435159 | Noemi Gutierrez | Clinical Nurse Specialist | 4560 Sw 52nd Cir, Unit 104, Ocala, FL 34474-9787 | 2010-08-27 |
1437229010 | Steven Elton Ross | Clinical Nurse Specialist | 4225 Wellington Shores Dr, Wellington, FL 33467-8351 | 2006-11-09 |
1073953196 | Tenika N Roman | Clinical Nurse Specialist | 27609 Pleasure Ride Loop, Wesley Chapel, FL 33544-1837 | 2013-07-03 |
1467427294 | Patricia Lynn Creach | Clinical Nurse Specialist | 12880 Commodity Pl, Care of United Surgical Assistants, Inc., Tampa, FL 33626-3101 | 2006-02-23 |
1912972506 | Elizabeth Ann Calhoun | Clinical Nurse Specialist | 410 S 11th St, Lake Wales, FL 33853-4203 | 2006-02-17 |
1326019449 | Frederick Paul Bogel | Clinical Nurse Specialist | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-27 |
City | PORT ST JOHN |
Zip Code | 32927 |
Please comment or provide details below to improve the information on BREVARD FIRST ASSISTANTS, INC..
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.