VICTOR RUSSO (NPI# 1174091714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174091714 |
| Entity Type | Individual |
| Full Name | VICTOR RUSSO |
| Practice Address |
15430 County Road 565a # Mailboxv Groveland FL 34736-8242 |
| Practice Telephone | 9548228212 |
| Mailing Telephone | 9548228212 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | FL | Other Service Providers |
| Street Address |
15430 COUNTY ROAD 565A # MAILBOXV |
| City | GROVELAND |
| State | FL |
| Zip Code | 34736-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346719937 | Vjcaretransportation | Non-emergency Medical Transport (VAN) | 15430 County Road 565a # Mailboxv, Groveland, FL 34736-8242 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893067 | Jeremy Watkins | Behavior Technician | 12325 Dry Fork Road, Groveland, FL 34736 | 2018-06-04 |
| 1447703863 | Thrive Psychological Services | Psychologist | 446 Sauvignon Way, Groveland, FL 34736 | 2016-08-02 |
| 1619339561 | Michael Medlin | Social Worker | 6629 Lake Erie Rd, Groveland, FL 34736 | 2016-03-21 |
| 1508226036 | Audreka Felix | Case Management | 128 Catherine Ln, Groveland, FL 34736 | 2016-02-25 |
| 1215257506 | Xavier Sigler | Pharmacist | 7777 Highway 50, Groveland, FL 34736 | 2010-06-09 |
| 1740509975 | Peter Aragones | Pharmacist | 7777 Hwy 50, Groveland, FL 34736 | 2010-05-27 |
| 1780849414 | Jennifer Kaminski | Speech-Language Pathologist | 1216 Demoiselle St, Groveland, FL 34736 | 2008-07-22 |
| 1669406617 | Christopher Saputa | General Practice | 1296 W Broad Street, Groveland, FL 34736 | 2006-07-10 |
| 1326129032 | Darren E Marsh | Pharmacist | South Lake Family Health Center, 1296 W Broad Street, Groveland, FL 34736-2012 | 2006-10-18 |
| 1407854847 | Catalin Teodoru | Dentist | 1296 W Broad St, Groveland, FL 34736-2012 | 2005-07-11 |
| Find all providers in zip 34736 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838656 | Ramon Luis Aponte Jr. | Driver | 9705 Kinmore Dr, Groveland, FL 34736-7923 | 2018-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212872 | Webster Luccin | Driver | 4175 S Congress Ave Ste B, Palm Springs, FL 33461-4725 | 2020-10-13 |
| 1225636434 | Toccara S Bennett | Driver | 5721 Rywood Dr, Orlando, FL 32810-6610 | 2020-10-12 |
| 1235736398 | Meekins Senior Shuttle | Driver | 15599 Moss Hollow Dr, Jacksonville, FL 32218-6875 | 2020-10-01 |
| 1063026037 | Jarilsa E Narvaez | Driver | 3975 Sunset Rd, Lehigh Acres, FL 33971-5638 | 2020-09-07 |
| 1164035887 | Lovell Braswell Jr. | Driver | 3706 Nw 122nd Ter, Sunrise, FL 33323-3319 | 2020-08-24 |
| 1093327009 | Toni Mabien | Driver | 4701 E Hanna Ave, Tampa, FL 33610-2522 | 2020-08-20 |
| 1770193203 | Timothy Webster Sr. | Driver | 1465 Shadow Creek Dr, Orange Park, FL 32065-2514 | 2020-08-10 |
| 1780293068 | Guillermo Gonzalez I | Driver | 1037 Ne Pine Island Ln, Cape Coral, FL 33909-2176 | 2020-07-23 |
| 1821606633 | Miguel Angel Cedeno | Driver | 6513 14th St W Ste 141, Bradenton, FL 34207-5803 | 2020-07-17 |
| 1912525379 | Rafael Martinez | Driver | 10967 Peppertree Ln, Port Richey, FL 34668-2420 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.