MARITZA PAULA (NPI# 1073130217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073130217 |
| Entity Type | Individual |
| Full Name | MARITZA PAULA |
| Practice Address |
164 Oxford Rd Davenport FL 33896-8891 |
| Mailing Address |
575 Live Oak Ave W Apt 7303 Haines City FL 33844-5099 |
| Practice Telephone | 9396307179 |
| Mailing Telephone | 9396307179 |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
4415 | PR | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | FL | Behavioral Health & Social Service Providers | |
| N | 251B00000X | Case Management | FL | Agencies |
| Street Address |
164 OXFORD RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33896-8891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1891176160 | Annissa Michael | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-06-12 |
| 1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
| 1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
| 1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
| 1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
| 1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
| Find all providers in zip 33896 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177242 | Immanuel Iman Simmons | Counselor | 2195 E 53rd St, Davenport, IA 52807-2705 | 2020-09-01 |
| 1447864269 | Angela Snyder Therapy, Plc | Counselor | 1027 N Marquette St, Davenport, IA 52804-3761 | 2020-08-31 |
| 1255944526 | Laura K Heffernan | Counselor | 372 Arbor Lakes Dr, Davenport, FL 33896-8170 | 2020-08-26 |
| 1952925992 | Jan Dumond LLC | Counselor | 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 | 2020-06-05 |
| 1144875220 | Wags for Wellness LLC | Counselor | 601 Brady St Ste 206, Davenport, IA 52803-5251 | 2019-08-06 |
| 1306300223 | Wellness First Counseling | Counselor | 1706 Brady St Ste 200, Davenport, IA 52803-4708 | 2019-01-24 |
| 1366939142 | Quill Counseling Plc | Counselor | 1820 E 54th St Ste A, Davenport, IA 52807-2797 | 2018-04-17 |
| 1932609070 | Samantha J Swanson | Counselor | 7307 Pacific St, Davenport, IA 52806-1250 | 2018-02-15 |
| 1578071213 | Jennifer Mejia | Counselor | 8020 Tuscany Way, Davenport, FL 33896-5444 | 2018-01-16 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| Find all providers in DAVENPORT | ||||
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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.