SHAREN R CORPUZ


Address: 1200 W Granada Blvd Ste 5, Ormond Beach, FL 32174-8157
Phone: 3866158122

SHAREN R CORPUZ (NPI# 1144298951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144298951
Entity Type Individual
Full Name SHAREN R CORPUZ
Credential ARNP
Practice Address 1200 W Granada Blvd Ste 5
Ormond Beach
FL 32174-8157
Practice Telephone 3866158122
Practice Fax Number 3866158135
Mailing Telephone 3866158122
Mailing Fax Number 3866158135
Enumeration Date 2006-03-08
Last Update Date 2010-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP1641982 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 W GRANADA BLVD STE 5
City ORMOND BEACH
State FL
Zip Code 32174-8157

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215574991 Case Vision Pa Optometrist Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 2019-12-02
1235797143 Galia Leilani Medrano Ramirez Dentist 1274 W. Granada Blvd, Ormond Beach, FL 32174 2019-06-05
1295299220 Jessica Johnson Hills Nurse Practitioner 1400 Hand Ave Ste K, Ormond Beach, FL 32174 2019-01-23
1437507043 Natasha Jairam Family Medicine Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 2016-05-25
1871956540 Lisa Anne Parissi Chiropractor 157 Kimberly Drive, Ormond Beach, FL 32174 2016-03-31
1023477940 Ambassador Health Services, Inc In Home Supportive Care 136 N Orchard St Ste 1, Ormond Beach, FL 32174 2016-02-19
1619341518 Maria Rogers Optometrist 9 Abacus Ave, Ormond Beach, FL 32174 2015-11-16
1285003830 Sydney Kalin Neuhardt Nurse Practitioner 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 2015-09-24
1194107821 Jerusha Thacker Case Manager/Care Coordinator 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 2015-06-18
1730569971 Daniel Joseph Lapolla Physical Therapy Assistant 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 2015-06-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710149539 Shelley Ann George Nurse Practitioner 408 Bushnell Park Ct, Ormond Beach, FL 32174-2664 2008-07-02
1861780272 Stephanie Lynn Monahan Nurse Practitioner 325 Clyde Morris Blvd Ste 340, Ormond Beach, FL 32174-3199 2011-07-19

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1023615440 Bridget Mary Rossi Nurse Practitioner 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 2020-10-08
1154928612 Haili Harless Nurse Practitioner 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 2020-10-07
1679170674 Lorena Beatriz Canelon Nurse Practitioner 16151 Sw 147th Ln, Miami, FL 33196-6416 2020-10-04
1851998082 Sanon Edmond Nurse Practitioner 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 2020-10-01
1710594114 Sumelia Waddell Nurse Practitioner 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 2020-09-29
1780291526 Ilmary De Los Angeles Jimenez Nurse Practitioner 7909 Biltmore Blvd, Miramar, FL 33023-5829 2020-09-25
1972119535 Dennis Carmelo Cadiz Serfino Nurse Practitioner 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 2020-09-18
1760097745 Amanee Orra Nurse Practitioner 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 2020-09-15
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Competitor

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City ORMOND BEACH
Zip Code 32174

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Dataset Information

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.

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