KEVIN NOVRESKE (NPI# 1407146160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146160 |
| Entity Type | Individual |
| Full Name | KEVIN NOVRESKE |
| Practice Address |
1320 Ne 2nd Ave Fort Lauderdale FL 33304-1020 |
| Practice Telephone | 9544679019 |
| Mailing Telephone | 9544679019 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 62500 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 677739200 | 05 |
| Street Address |
1320 NE 2ND AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068288 | Frank Scaturro | Massage Therapist | 205 Ne 16th Ter, Fort Lauderdale, FL 33301-3820 | 2020-09-17 |
| 1982210753 | Nuttapol Kenny Zateeya | Massage Therapist | 2807 Ne 21st Ter, Fort Lauderdale, FL 33306-1215 | 2020-09-17 |
| 1215542220 | Treisa Heights | Massage Therapist | 2787 E Oakland Park Blvd Ste 401, Fort Lauderdale, FL 33306-1632 | 2020-09-15 |
| 1093329062 | Nadja Turner | Massage Therapist | 830 Sw 27th St, Fort Lauderdale, FL 33315-2636 | 2020-09-07 |
| 1689288870 | Sharon Luongo | Massage Therapist | 450 Ne 5th St Unit 133, Fort Lauderdale, FL 33301-3458 | 2020-09-03 |
| 1629682018 | Shannon Lee Burns | Massage Therapist | 223 Lauderdale Trl, Fort Lauderdale, FL 33312-7127 | 2020-09-02 |
| 1316551013 | Randi Nina West | Massage Therapist | 3532 N Ocean Blvd, Fort Lauderdale, FL 33308-6752 | 2020-09-01 |
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1487110276 | Gregg Robert Bromberg | Massage Therapist | 3900 Galt Ocean Dr Apt 2015, Fort Lauderdale, FL 33308-6611 | 2019-02-16 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on KEVIN NOVRESKE.
| 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.