MR. RAPHAEL SANDERS (NPI# 1063793578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063793578 |
| Entity Type | Individual |
| Full Name | MR. RAPHAEL SANDERS |
| Credential | LPN |
| Practice Address |
11150 4th St N #4502 St Petersburg FL 33716-2914 |
| Practice Telephone | 8137931579 |
| Mailing Telephone | 8137931579 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5182360 | FL | Nursing Service Providers |
| Street Address |
11150 4TH ST N #4502 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043601586 | Lorraine Sorrick | Licensed Practical Nurse | 10182 12th Way N Apt 107, St Petersburg, FL 33716-4363 | 2015-02-05 |
| 1487052148 | Brock and Harrison Services, LLC | Licensed Practical Nurse | 3344 23rd St N, St Petersburg, FL 33713-2708 | 2014-12-12 |
| 1811318116 | Alberto Casas | Licensed Practical Nurse | 6217 38th Ave N, St Petersburg, FL 33710-1608 | 2014-01-04 |
| 1215368279 | Stephanie Carrington | Licensed Practical Nurse | 3110 1st Ave N Ste 2i, St Petersburg, FL 33713-8637 | 2013-12-02 |
| 1568796985 | Superior Staffing | Licensed Practical Nurse | 6190 80th St N Apt 104, St Petersburg, FL 33709-1069 | 2009-10-02 |
| 1881852226 | Sheron Angela Bygraves | Licensed Practical Nurse | 6425 Canton St S, St Petersburg, FL 33712-5560 | 2008-05-31 |
| 1922276450 | Eric Gerard Hicks | Licensed Practical Nurse | 7251 Cedar Ct N Apt 207, St Petersburg, FL 33702-5545 | 2008-02-19 |
| 1841409679 | Karen Sue Cary Lentz | Licensed Practical Nurse | 1099 5th Ave N, Suite 110, St Petersburg, FL 33705-1469 | 2007-05-21 |
| 1114072790 | Maryann Ralston | Licensed Practical Nurse | 4820 Venetian Blvd Ne, St Petersburg, FL 33703-4228 | 2007-01-24 |
| 1407400922 | Octavia G. Crooks | Licensed Practical Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2019-08-01 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
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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.