DR. ANTHONY VAZ (NPI# 1417922469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417922469 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY VAZ |
| Credential | M.D. |
| Practice Address |
1215 Dunn Ave Jacksonville FL 32218-6330 |
| Practice Telephone | 9047571998 |
| Practice Fax Number | 9046967462 |
| Mailing Telephone | 9047571998 |
| Mailing Fax Number | 9046967462 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0024762 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008909900 | 05 | |
| FL | MEDICARE | 15389X | 01 |
| Street Address |
1215 DUNN AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996625 | Renee Christine Aulisi | Registered Nurse | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2019-05-01 |
| 1417435884 | Tameerah Mebane | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-07-29 |
| 1629561451 | Otis Green IIi | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-06-06 |
| 1174042212 | King David Mungin Sr. | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2017-09-10 |
| 1811367618 | Heather Ledford | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2015-10-06 |
| 1023424694 | Total Renal Care, Inc | Clinic/Center | 1215 Dunn Ave, Ste 8, Jacksonville, FL 32218-4897 | 2014-07-03 |
| 1962820738 | Victoria Godwin Udongwo | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2014-03-31 |
| 1801138391 | Denise Marie Ward | Nurse Practitioner | 1215 Dunn Ave, Suite1, Jacksonville, FL 32218-6330 | 2013-03-22 |
| 1093061723 | Gerardo Augusto Montanez Galvis | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2012-07-31 |
| 1780964213 | Dearcy E. Vaughan | Pharmacist | 1215 Dunn Ave, Suite #2, Jacksonville, FL 32218-6330 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.