ELIE M POLISSAINT (NPI# 1053341412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053341412 |
| Entity Type | Individual |
| Full Name | ELIE M POLISSAINT |
| Credential | ARRT |
| Practice Address |
3630 William St Lake Park FL 33403-1634 |
| Mailing Address |
8190 Okeechobee Blvd Wellington FL 33411-2047 |
| Practice Telephone | 5612827672 |
| Practice Fax Number | 5616831932 |
| Mailing Telephone | 5612827672 |
| Mailing Fax Number | 5616835787 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
62331 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3630 WILLIAM ST |
| City | LAKE PARK |
| State | FL |
| Zip Code | 33403-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391355 | Brittany Oclon | Physical Therapist | 3450 Northlake Blvd., Suite 101, Palm Beach Gardens, FL 33403 | 2019-08-15 |
| 1558836668 | Daniel Patirck Harrison | Nurse Practitioner | 903 Lake Shore Drive, Apt. 102, West Palm Beach, FL 33403 | 2018-10-04 |
| 1073099453 | Lashunda Blackshear | Nurse Practitioner | 538 Cypress Drive, Lake Park, FL 33403 | 2018-07-18 |
| 1659864049 | Tara E Turene | Behavior Technician | 900 Burma Road, Suit 109, Palm Beach Gardens, FL 33403 | 2018-06-11 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1427587815 | Kristin Barahona | Behavioral Analyst | 9000 Burma Road Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1497284855 | Brigitte Mallary Toledo | Behavioral Analyst | 9000 Burma Road, Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1568914539 | Daniel & Max, LLC | Optometrist | 3331 Northlake Blvd, Suite 1, Palm Beach Gardens, FL 33403 | 2016-10-26 |
| 1144778028 | Griffee Dental I Pa | Dentist | 3333 Northlake Blvd, Ste 6, Palm Beach Gardens, FL 33403 | 2016-09-20 |
| 1982158929 | Academy Whole Health Solutions | Substance Abuse Rehabilitation Facility | 504 10th St, Lake Park, FL 33403 | 2016-08-08 |
| Find all providers in zip 33403 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386150647 | Irina Weidman | Radiologic Technologist | 222 Los Prados Dr, Safety Harbor, FL 34695-3332 | 2017-12-22 |
| 1063882595 | Michael Notbohm | Radiologic Technologist | 6012 Yeats Manor Dr, Unit 102, Tampa, FL 33616-1444 | 2015-09-27 |
| 1174859482 | June Robin Kelly | Radiologic Technologist | 1509 Adams Cir E, Largo, FL 33771-6420 | 2009-10-20 |
| 1568693190 | Kathy J Davis | Radiologic Technologist | 5631 103rd Ter, Pinellas Park, FL 33782-2708 | 2009-07-30 |
| 1710137583 | John Kelly Bennett | Radiologic Technologist | 1661 Kinsmere Dr, Trinity, FL 34655-4528 | 2008-09-29 |
| 1194795658 | Southern Open Mri Inc | Radiologic Technologist | 289 Sw Stonegate Ter, Suite 102, Lake City, FL 32024-3456 | 2006-01-25 |
| 1659917375 | Edward Sherwood | Radiologic Technologist | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2019-11-18 |
| 1457586869 | Denice L Spencer | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-05-29 |
| 1689792202 | Margaret Louise Dees | Radiologic Technologist | 12037 Cortez Blvd, Brooksville, FL 34613-7349 | 2007-03-26 |
| 1700830890 | Tallahassee Diagnostic Imaging Ltd | Radiologic Technologist | 15 Council Moore Rd, Crawfordville, FL 32327-3117 | 2006-05-22 |
| Find all providers with the same taxonomy | ||||
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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.