ANDREA GONSALVES (NPI# 1588186860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588186860 |
| Entity Type | Individual |
| Full Name | ANDREA GONSALVES |
| Credential | LMT |
| Practice Address |
1985 Howell Branch Rd Maitland FL 32751-5901 |
| Mailing Address |
1317 Edgewater Dr Ste 1853 Orlando FL 32804-6350 |
| Practice Telephone | (407) 720-8511 |
| Mailing Telephone | 3524051112 |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA84070 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1985 HOWELL BRANCH RD |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636212 | Ag Massage & Bodywork LLC | Massage Therapist | 1985 Howell Branch Rd, Maitland, FL 32751-5901 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| 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 |
|---|---|---|---|---|
| 1841899689 | Haley Medlock | Massage Therapist | 826 Maple Ct, Maitland, FL 32751-6356 | 2020-10-22 |
| 1669079653 | Jamie Beverly | Massage Therapist | 1116 Grove St, Maitland, FL 32751-6318 | 2020-10-03 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1629403811 | Emer Ann Farrelly | Massage Therapist | 1528 East Blvd, Maitland, FL 32751-3540 | 2013-09-06 |
| 1790967669 | Kerrye Jolynn Tabaczka | Massage Therapist | 110 N Orlando Ave, Suite 14, Maitland, FL 32751-5574 | 2007-12-03 |
| 1528284494 | Faith Renee Buhler | Massage Therapist | 549 N Wymore Rd, Suite 209, Maitland, FL 32751-4203 | 2007-04-18 |
| 1245379627 | Waldemar Kogan | Massage Therapist | 467 Lake Howell Rd, Suite 103, Maitland, FL 32751-5922 | 2007-02-05 |
| 1508912825 | Lisa M Kirchner | Massage Therapist | 1780 N Park Ave, Maitland, FL 32751-6500 | 2007-01-27 |
| 1124636212 | Ag Massage & Bodywork LLC | Massage Therapist | 1985 Howell Branch Rd, Maitland, FL 32751-5901 | 2020-07-15 |
| 1346723624 | Jennifer Denise Pollard | Massage Therapist | 237 Lookout Pl, Maitland, FL 32751-8433 | 2018-09-12 |
| Find all providers in MAITLAND | ||||
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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.