MRS. CORALIE PRINCE (NPI# 1497998371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497998371 |
Entity Type | Individual |
Full Name | MRS. CORALIE PRINCE |
Credential | RN |
Practice Address |
2440 Emerson Dr Se Palm Bay FL 32909-4972 |
Practice Telephone | 3212997687 |
Mailing Telephone | 3212997687 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-04-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 177F00000X | Lodging | AL11411 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 142640100 | 05 |
Street Address |
2440 EMERSON DR SE |
City | PALM BAY |
State | FL |
Zip Code | 32909-4972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073910840 | Blue Fountain Home Care, LLC | Assisted Living Facility | 2440 Emerson Dr Se, Palm Bay, FL 32909-4972 | 2014-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
Find all providers in zip 32909 |
Taxonomy Code | 177F00000X |
Grouping | Other Service Providers |
Classification | Lodging |
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912525627 | Ronaldmcdonald House Charities South Florida | Lodging | 1145 Nw 14th Ter, Miami, FL 33136-1050 | 2020-07-09 |
1083278675 | Paradise Oasis LLC | Lodging | 363 W River Rd, Chattahoochee, FL 32324-2316 | 2019-04-29 |
1609333608 | Lmab LLC | Lodging | 66 W Flagler St Ste 900, Miami, FL 33130-1807 | 2019-02-26 |
1871003970 | Des'aille Outreach, LLC | Lodging | 1202 Golden Gate Ave, Orlando, FL 32808-7476 | 2017-10-04 |
1922327063 | Ioana Adams | Lodging | 10579 101st Ave, Seminole, FL 33772-2502 | 2010-05-28 |
1487973624 | Heavenly Choice Adult Group Home | Lodging | 5500 Watkins Rd, Haines City, FL 33844-6254 | 2010-05-27 |
1144463175 | Daphne Lewis | Lodging | 8424 Sheraton Dr, Miramar, FL 33025-2825 | 2009-04-07 |
1437390291 | Ethel Harriet Stevens | Lodging | 12365 152nd St N, Jupiter, FL 33478-3558 | 2009-03-09 |
1477791101 | Pedro Anthony Barclay | Lodging | 3910 W Washington St, Orlando, FL 32805-1964 | 2009-02-03 |
1407023948 | Valerie L Larubbio | Lodging | 4568 Phipps Dr, Port Orange, FL 32129-3678 | 2008-05-14 |
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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.