KEVIN NOVRESKE


Address: 1320 Ne 2nd Ave, Fort Lauderdale, FL 33304-1020
Phone: 9544679019

KEVIN NOVRESKE (NPI# 1407146160) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA 62500 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 677739200 05

Office Location

Street Address 1320 NE 2ND AVE
City FORT LAUDERDALE
State FL
Zip Code 33304-1020

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1790283000 Genoa Healthcare, LLC Pharmacy 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 2018-02-01
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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
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FORT LAUDERDALE
Zip Code 33304

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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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