MS. MARIYA BOZHENOK


Address: 4101 Evans Ave, Fort Myers, FL 33901
Phone: 2399393456

MS. MARIYA BOZHENOK (NPI# 1194077487) 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) 1194077487
Entity Type Individual
Full Name MS. MARIYA BOZHENOK
Credential PA-C
Practice Address 4101 Evans Ave
Fort Myers
FL 33901
Mailing Address Po Box 111600
Naples
FL 34108-0127
Practice Telephone 2399393456
Practice Fax Number 2397902432
Mailing Telephone 2393330630
Mailing Fax Number 2393330631
Enumeration Date 2012-10-10
Last Update Date 2016-06-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
PA9106816 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4101 EVANS AVE
City FORT MYERS
State FL
Zip Code 33901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235192337 Arthur T Young Optometrist 4101 Evans Ave, Fort Myers, FL 33901-9310 2006-04-10
1396350203 Mallory Elora Thompson Optometrist 4101 Evans Ave, Fort Myers, FL 33901-9310 2020-09-09
1821622366 Christopher Matthew Trimble Hearing Instrument Specialist 4101 Evans Ave, Fort Myers, FL 33901-9310 2020-02-24
1770069528 Bethany J Nelson Optometrist 4101 Evans Ave, Fort Myers, FL 33901-9310 2018-07-16
1457780108 Olga Gilman Physician Assistant 4101 Evans Ave, Fort Myers, FL 33901-9310 2013-11-04
1821359274 David J. Overholt Optometrist 4101 Evans Ave, Fort Myers, FL 33901 2012-06-01
1912165416 Allison B Yee Ophthalmology 4101 Evans Ave, Fort Myers, FL 33901 2008-05-30
1326198656 Douglas F Bittner Nurse Anesthetist, Certified Registered 4101 Evans Ave, Fort Myers, FL 33901-9310 2007-01-11
1891862173 Robert L Underberg Optometrist 4101 Evans Ave, Fort Myers, FL 33901 2006-11-29
1952477333 Surgicare Center Clinic/Center 4101 Evans Ave, Fort Myers, FL 33901-9310 2006-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811536972 Daniel Wolfe Speech-Language Pathologist 3375 Evans Avenue, Fort Myers, FL 33901 2020-01-06
1841764065 Medicab Transportation, LLC Ambulance 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 2019-01-22
1760963649 Jamies Home Care Services LLC Home Health 1944 Suwanee Ave, Fort Myers, FL 33901 2018-08-28
1942673900 Adriana Ramnarine Dietitian, Registered 2727 Winkler Ave., Fort Myers, FL 33901 2015-11-12
1215327093 Carecommunity Inc. Foster Care Agency 4066 Evans Ave Ste 4, Fort Myers, FL 33901 2015-01-30
1013327832 Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC Chiropractor 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 2014-05-01
1588087076 Larry Philip Garrett Family Medicine 3543 Stuart Ct, Fort Myers, FL 33901 2014-02-04
1144657479 Janet M Michael Registered Nurse 3763 Evans Ave., Fort Myers, FL 33901 2013-10-01
1366879785 Gina Lee Guerrero Licensed Practical Nurse 3736 Evans Ave, Fort Myers, FL 33901 2013-09-30
1396186649 Ronald Edward Trapp Dentist 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 2013-07-16
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649742628 Viergela Deshommes Joseph Nurse Practitioner 2040 Collier Ave Ste A, Fort Myers, FL 33901-8124 2019-01-01
1699286740 Rachel Lynn Ile Myers Nurse Practitioner 14015 Danpark Loop, Fort Myers, FL 33912-6854 2017-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871724 Brenna Schulman Nurse Practitioner 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 2020-11-04
1245831726 Sydia Spence Nurse Practitioner 8001 Nw 66th Ter, Tamarac, FL 33321-7015 2020-11-02
1598365165 Fernande Simeon Nurse Practitioner 6490 Nw 55th St, Coral Springs, FL 33067-2710 2020-10-31
1780284596 Corrective Spinal Care Inc Nurse Practitioner 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 2020-10-30
1023617420 John Bertram Garrett Iv Nurse Practitioner 5079 Garrett Rd, Malone, FL 32445-3409 2020-10-19
1518565894 Karen Giselle Reyes Nurse Practitioner 4563 Perth Rd, West Palm Beach, FL 33415-2811 2020-10-09
1265039424 Catherine Dettelbach Lake Nurse Practitioner 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 2020-10-01
1417562877 Victoria Ann Jacobs Nurse Practitioner 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 2020-09-12
1760096135 Conciergenp Nurse Practitioner 1221 S 23rd Ave, Hollywood, FL 33020-5912 2020-09-03
1649881434 Dr Jose A Rivera LLC Nurse Practitioner 110 W Citrus St, Altamonte Springs, FL 32714-2502 2020-08-14
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Competitor

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City FORT MYERS
Zip Code 33901

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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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