ROAN CADAVONA (NPI# 1093206104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093206104 |
| Entity Type | Individual |
| Full Name | ROAN CADAVONA |
| Credential | ARNP |
| Practice Address |
1601 6th St Se Winter Haven FL 33880-4605 |
| Mailing Address |
303 Terranova Blvd Winter Haven FL 33884-3427 |
| Practice Telephone | 8634199301 |
| Mailing Telephone | 8632989035 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F05180059 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 6TH ST SE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831106111 | Samuel S Messieh | Orthopaedic Surgery | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2006-08-01 |
| 1154859304 | Cristina Van Horn | Physical Therapist | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2017-06-01 |
| 1013372218 | Richard Herrera | Physical Therapy Assistant | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2015-12-15 |
| 1205200045 | Tenisha Jones | Physical Therapy Assistant | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2015-11-17 |
| 1104299056 | Faith E Johnson | Nurse Practitioner | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2015-10-31 |
| 1457720260 | Tracy Peck | Clinic/Center | 1601 6th St Se, Suite B, Winter Haven, FL 33880-4605 | 2015-09-22 |
| 1093184269 | Cora Rehabilitation | Clinic/Center | 1601 6th St Se, Suite B, Winter Haven, FL 33880-4605 | 2015-09-17 |
| 1093138901 | Raymond Chacon | Physical Therapy Assistant | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2014-01-28 |
| 1053741256 | Denise Bush Overlock | Physical Therapy Assistant | 1601 6th St Se, Suite B, Winter Haven, FL 33880-4605 | 2013-11-25 |
| 1952631467 | Maricar Yap Sarno | Physical Therapist | 1601 6th St Se, Winter Haven, FL 33880-4605 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564699 | Family Holistic Wellness LLC | Nurse Practitioner | 543 Avenue K Se, Winter Haven, FL 33880-4215 | 2020-10-02 |
| 1003426883 | Natasha L Fenelon | Nurse Practitioner | 2065 Whispering Trails Blvd, Winter Haven, FL 33884-1838 | 2020-08-05 |
| 1659998102 | Amanda Anne Waters | Nurse Practitioner | 1209 Cypress Pt E, Winter Haven, FL 33884-3027 | 2020-07-01 |
| 1891259925 | Nacresha Nicole Richardson | Nurse Practitioner | 823 Terranova Rd, Winter Haven, FL 33884-3441 | 2019-01-23 |
| 1245701093 | Neena Jinoy | Nurse Practitioner | 400 Avenue K Se Ste 5, Winter Haven, FL 33880-4123 | 2018-12-05 |
| 1154899383 | Iris Bosede Olasoji | Nurse Practitioner | 5753 Royal Hills Cir, Winter Haven, FL 33881-8794 | 2018-11-06 |
| 1407321300 | Carey Coco | Nurse Practitioner | 635 First Street, North, Winter Haven, FL 33881-4129 | 2018-10-06 |
| 1669956991 | Malinda Wood | Nurse Practitioner | 2647 21st St Nw, Winter Haven, FL 33881-1250 | 2018-09-22 |
| 1215415534 | Meri Melodie Mitchell | Nurse Practitioner | 664 Lake Dexter Cir, Winter Haven, FL 33884-2214 | 2018-07-30 |
| 1164944203 | Lindsay Hamid | Nurse Practitioner | 550 Pope Ave Nw Unit 200, Winter Haven, FL 33881-4679 | 2017-07-11 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on ROAN CADAVONA.
| 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.