ABLA HERZALLA (NPI# 1275942864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275942864 |
| Entity Type | Individual |
| Full Name | ABLA HERZALLA |
| Practice Address |
55 Deltona Blvd Saint Augustine FL 32086-7020 |
| Practice Telephone | 3522822876 |
| Mailing Telephone | 3522822876 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 19713800 | 05 |
| Street Address |
55 DELTONA BLVD |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-7020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850059 | Icare Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 55 Deltona Blvd, Saint Augustine, FL 32086-7020 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831399 | Joseph Anthony Pingatore | Emergency Medical Technician, Basic | 6030 Wilkinson Rd Apt 210, Sarasota, FL 34233-3872 | 2020-04-28 |
| 1588283071 | James Bridges | Emergency Medical Technician, Basic | 2001 Saxon Dr, New Smyrna Beach, FL 32169-3246 | 2020-04-14 |
| 1891336327 | Tony Bernard Anderson Sr. | Emergency Medical Technician, Basic | 20324 Nw 36th Ct, Miami Gardens, FL 33056-1749 | 2019-10-06 |
| 1538727359 | Robert Ortega IIi | Emergency Medical Technician, Basic | 1513 Se 20th Pl, Homestead, FL 33035-2609 | 2019-06-05 |
| 1013472042 | Christine Anne Sacramento | Emergency Medical Technician, Basic | 20803 Johnson St, Pembroke Pines, FL 33029-1916 | 2019-02-04 |
| 1922502434 | David Patlak | Emergency Medical Technician, Basic | 1881 Washington Ave Apt 2h, Miami Beach, FL 33139-7445 | 2018-03-20 |
| 1164961694 | Dowil Henry | Emergency Medical Technician, Basic | 9628 Ne 2nd Ave, Suite#b3, Miami Shores, FL 33138-2767 | 2017-02-16 |
| 1841734266 | John Mccants | Emergency Medical Technician, Basic | 1302 Detour Rd, Haines City, FL 33844-9304 | 2016-12-05 |
| 1437600418 | Isabel Brasil | Emergency Medical Technician, Basic | 8928 W 35th Ln, Hialeah, FL 33018-1887 | 2016-10-14 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on ABLA HERZALLA.
| 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.