TAMMERA BLACK (NPI# 1134695190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134695190 |
Entity Type | Individual |
Full Name | TAMMERA BLACK |
Practice Address |
1969 Westpointe Cir Orlando FL 32835 |
Mailing Address |
1969 Westpointe Cir Orlando FL 32835-8183 |
Practice Telephone | 4079600192 |
Mailing Telephone | 4079600192 |
Enumeration Date | 2018-10-17 |
Last Update Date | 2019-07-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 832107134 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7565 S Old Oaks Dr, Floral City, FL 344362653 | 4079600192 |
Street Address |
1969 WESTPOINTE CIR |
City | ORLANDO |
State | FL |
Zip Code | 32835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
1003358847 | Suzanna Azor | Specialist | 6520 Metrowest Blvd # 719, Orlando, FL 32835 | 2016-11-10 |
Find all providers in zip 32835 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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1730707415 | Active Dl Services Inc. | Clinic/Center | 1830 Bel Air Ave, Orlando, FL 32812-8709 | 2020-07-09 |
1912523879 | Your Light Residential Care LLC | Clinic/Center | 2640 Albion Ave, Orlando, FL 32833-4342 | 2020-06-17 |
1477174225 | Meghan Mullany | Clinic/Center | 14815 Faberge Dr, Orlando, FL 32828-5119 | 2020-05-04 |
1447884457 | Immaculate Homecare Corp | Clinic/Center | 2204 Ashland Blvd, Orlando, FL 32808-4906 | 2020-02-28 |
1770116410 | Daphene Saintil | Clinic/Center | 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 | 2020-02-21 |
1225671514 | Annette I Vigeant | Clinic/Center | 19668 Mardi Gras St, Orlando, FL 32833-3720 | 2019-10-20 |
1225689284 | Marie Mickaelle Auguste | Clinic/Center | 1421 Magellan Cir, Orlando, FL 32818-6733 | 2019-09-21 |
1639737760 | Amanda Garcia Ruiz | Clinic/Center | 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 | 2019-06-04 |
1053976126 | Achille Family Nursing Care LLC | Clinic/Center | 12632 Boggy Pointe Dr, Orlando, FL 32824-4881 | 2019-05-04 |
1205499787 | K Brown Med-waiver Services Inc | Clinic/Center | 3250 Mahalia Pl, Orlando, FL 32805-2918 | 2019-04-19 |
Find all providers in ORLANDO |
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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.