VICTORIA VANACORE (NPI# 1396020426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396020426 |
| Entity Type | Individual |
| Full Name | VICTORIA VANACORE |
| Credential | PA-C |
| Practice Address |
10141 Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5614391500 |
| Practice Fax Number | 5614399902 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106248 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9106248 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 1242841 | 01 |
| FL | BCBS | YJAAL | 01 |
| FL | CIGNA | 5359596 | 01 |
| FL | 016646600 | 05 | |
| FL | AVMED | 398528 | 01 |
| FL | OPTIMUM | P968867 | 01 |
| FL | RR MEDICARE | P01584470 | 01 |
| FL | AETNA | 9422829 | 01 |
| FL | FREEDOM | P1032516 | 01 |
| Street Address |
10141 FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942846324 | Erica Marie Garcia | Physician Assistant | 13302 La Mirada Cir, Wellington, FL 33414-3960 | 2019-11-21 |
| 1497240386 | Jessica Lynn Zalutko | Physician Assistant | 3319 S State Road 7 Ste 202, Wellington, FL 33449-8146 | 2018-06-25 |
| 1710486915 | Catherine Woolwine | Physician Assistant | 15903 Cypress Park Dr, Wellington, FL 33414-6348 | 2018-02-03 |
| 1730690991 | Ariel Le | Physician Assistant | 10115 Forest Hill Blvd Ste 4045, Wellington, FL 33414-3105 | 2017-10-16 |
| 1609385046 | Megan Ginter | Physician Assistant | 3319 S State Road 7 Ste 313, Wellington, FL 33449-8147 | 2017-09-28 |
| 1376848457 | Carrie Ann Davila | Physician Assistant | 1397 Medical Park Blvd Ste 220, Wellington, FL 33414-3187 | 2011-01-20 |
| 1780739128 | Lori Driscoll | Physician Assistant | 13421 S Shore Blvd Ste 101, Wellington, FL 33414-7210 | 2007-01-24 |
| 1588746275 | Jean Carmin Bonnet | Physician Assistant | 8950 Alexandra Cir, Wellington, FL 33414-6438 | 2006-10-20 |
| 1104804210 | Samuel Cyril Jr. | Physician Assistant | 3347 S State Road 7 Ste 101, Wellington, FL 33449-8148 | 2006-01-09 |
| 1376525899 | Robert J Abiusi | Physician Assistant | 1397 Medical Park Blvd, Suite 260, Wellington, FL 33414-6156 | 2005-11-18 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on VICTORIA VANACORE.
| 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.