MR. ENOCH LEACOCK (NPI# 1568060788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568060788 |
Entity Type | Individual |
Full Name | MR. ENOCH LEACOCK |
Practice Address |
6900 S Orange Blossom Trl Ste 304 Orlando FL 32809-5736 |
Mailing Address |
951 Salt Pond Pl Unit 102 Altamonte Springs FL 32714-7635 |
Practice Telephone | 4079230458 |
Mailing Telephone | 4079230458 |
Enumeration Date | 2020-10-09 |
Last Update Date | 2020-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA90560 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6900 S ORANGE BLOSSOM TRL STE 304 |
City | ORLANDO |
State | FL |
Zip Code | 32809-5736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
Find all providers in zip 32809 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538768049 | Desiree Monique Bethelmie | Massage Therapist | 1608 S Crystal Lake Dr Apt 54, Orlando, FL 32806-3358 | 2020-10-26 |
1467051599 | Masae Shimomoto | Massage Therapist | 7422 Radiant Cir, Orlando, FL 32810-3136 | 2020-10-20 |
1760080352 | Amanda Lea Gill | Massage Therapist | 3829 Albright Ln, Orlando, FL 32828-6468 | 2020-10-15 |
1073110466 | Brenden Kuhn | Massage Therapist | 1324 Lake Baldwin Ln Apt B, Orlando, FL 32814-6665 | 2020-10-08 |
1013514462 | Sylvia Michelle Burch | Massage Therapist | 1800 Curry Ford Rd, Orlando, FL 32806-2416 | 2020-10-07 |
1154928083 | Angelica Inez Jusino | Massage Therapist | 514 Hillcrest St Apt B, Orlando, FL 32803-4505 | 2020-10-05 |
1255948097 | Aubrey F Soloven | Massage Therapist | 5635 Marinell Dr, Orlando, FL 32809-4245 | 2020-09-25 |
1265049373 | Jessy Kimbrell | Massage Therapist | 5967 Folkstone Ln, Orlando, FL 32822-9420 | 2020-09-23 |
1790390516 | Sally E Moon | Massage Therapist | 10216 Kensington Shore Dr, Orlando, FL 32827-7306 | 2020-09-09 |
1265046197 | Georgiana Dimulescu | Massage Therapist | 3347 Monika Cir, Orlando, FL 32812-7360 | 2020-09-08 |
Find all providers in ORLANDO |
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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.