KEILA MABEL FATNASSI (NPI# 1477962181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477962181 |
| Entity Type | Individual |
| Full Name | KEILA MABEL FATNASSI |
| Credential | MA |
| Practice Address |
510 Vonderburg Dr # 301 Brandon FL 33511-5954 |
| Mailing Address |
700 S Harbour Island Blvd Unit # 313 Tampa FL 33602-5712 |
| Practice Telephone | 8138811000 |
| Mailing Telephone | 8138467904 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
510 VONDERBURG DR # 301 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956206 | Richard J Eatroff | Specialist | 510 Vonderburg Dr, Suite 3005, Brandon, FL 33511-5980 | 2006-03-16 |
| 1013556158 | Michael J Mazucci-mambala | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2020-01-06 |
| 1720525710 | Sarah C Ortiz | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2017-01-27 |
| 1679947576 | Joseph Theodore Stembler | Counselor | 510 Vonderburg Dr, #301, Brandon, FL 33511-5954 | 2015-11-17 |
| 1669866380 | Helene Dara Schwartz | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2015-03-19 |
| 1902204324 | Joseph Mushalansky | Chiropractor | 510 Vonderburg Dr, Ste 200, Brandon, FL 33511-5954 | 2014-12-17 |
| 1053735241 | Jennifer Chavarro Castillo | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-10 |
| 1437573755 | Naomi Cadoret | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-06 |
| 1568805679 | Concierge Care Tampa Bay LLC | General Practice | 510 Vonderburg Dr, Suite 213, Brandon, FL 33511-5954 | 2013-04-09 |
| 1972846814 | November Thea Church | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2013-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1871022590 | South Florida Addiction & Recovery Group, LLC | Psychologist | 4824 10th Ave N, Greenacres, FL 33463-2208 | 2017-06-06 |
| 1427582949 | John Marika | Psychologist | 830 Bayside Ln, Weston, FL 33326-3340 | 2017-04-12 |
| 1184075152 | Dr. Duane Frisby | Psychologist | 1767 Harborside Cir, Wellington, FL 33414-8068 | 2016-06-30 |
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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.