GERARD THOMAS DORIS III (NPI# 1508337676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508337676 |
| Entity Type | Individual |
| Full Name | GERARD THOMAS DORIS III |
| Practice Address |
3409 Nottingham Ct Apt 252 Tampa FL 33614-4687 |
| Practice Telephone | 8133652494 |
| Mailing Telephone | 8133652494 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 83-2319791 | 05 |
| Street Address |
3409 NOTTINGHAM CT APT 252 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
| 1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
| 1912378415 | Comfort Angels Home Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3133 W Lambright St, Tampa, FL 33614-4616 | 2015-10-09 |
| 1598190092 | Family Residences of Tampa Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14508 Midland Greens Pl, Tampa, FL 33625-3348 | 2013-09-04 |
| 1922315464 | Ultimate Business Management | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9216 Everwood Ct, Tampa, FL 33647-3297 | 2010-09-03 |
| 1841299237 | Pensacola Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14219 Bruce B Downs Blvd, Tampa, FL 33613-3913 | 2005-07-18 |
| 1295188142 | Stephani Fauerbach | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1497108344 | Ashlee Henrichs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1972956829 | Victoria Peters | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1194178038 | Ronald Fahrenholz | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| Find all providers in TAMPA | ||||
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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.