JERALD VIZZONE, D.O. (NPI# 1245671361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245671361 |
| Entity Type | Organization |
| Organization Name | JERALD VIZZONE, D.O. |
| Practice Address |
8595 College Pkwy #110 Fort Myers FL 33919-5191 |
| Mailing Address |
2295 Nw Corporate Blvd #245 Boca Raton FL 33431-7373 |
| Practice Telephone | 2394892290 |
| Mailing Telephone | 5619880545 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | DR. JERALD VIZZONE (PHYSICIAN) |
| Authorized Official Telephone | 2394892290 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | INJURY TREATMENT CENTER OF FORT MYERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS11480 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114368743 | Jerald Vizzone, D.o. | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-11 |
| Street Address |
8595 COLLEGE PKWY #110 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770680993 | Medical Department Store and Discount Uniforms, Inc. | Durable Medical Equipment & Medical Supplies | 8595 College Pkwy, Fort Myers, FL 33919-5191 | 2006-09-20 |
| 1033656525 | Alan Bruce Dautch, Pa | Chiropractor | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2017-01-23 |
| 1902236698 | Amy Bonanno | Nurse Practitioner | 8595 College Pkwy, Suite 250, Fort Myers, FL 33919-5191 | 2013-11-18 |
| 1952743676 | Michael Barile, Md | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-23 |
| 1881035905 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-17 |
| 1154762276 | Injury Treatment Center of Fort Myers, Inc. | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-17 |
| 1336482371 | Sherry Magness | Home Health | 8595 College Pkwy, Suite 350, Fort Myers, FL 33919-5191 | 2013-03-28 |
| 1215216478 | Beth A Cary | Contractor | 8595 College Pkwy, Suite 110, Fort Myers, FL 33919-5191 | 2011-08-05 |
| 1780988139 | Edwin Torres Jr. | Chiropractor | 8595 College Pkwy, Suite 110, Fort Myers, FL 33919-5191 | 2010-12-28 |
| 1699091413 | Erika Maria Tanczos | Chiropractor | 8595 College Pkwy, Suite 110, Fort Myers, FL 33919-5191 | 2010-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407273410 | Miguel Rivera, Md | Non-Pharmacy Dispensing Site | 8595 College Pkwy Ste 110, Fort Myers, FL 33919-5194 | 2014-03-27 |
| 1952743676 | Michael Barile, Md | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-23 |
| 1881035905 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-17 |
| 1154762276 | Injury Treatment Center of Fort Myers, Inc. | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-17 |
| 1104005859 | Advanced Pain Management Specialist | Non-Pharmacy Dispensing Site | 6120 Winkler Rd, Suite J, Fort Myers, FL 33919-8125 | 2007-10-30 |
| 1770698706 | Wayne Isaacson Md | Non-Pharmacy Dispensing Site | 4035 Evans Ave, Ste 1, Fort Myers, FL 33901-9308 | 2006-08-20 |
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|---|---|---|---|---|
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| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.