DEVON SCHEFANO


Address: 1204 Massey Ave, Mayport, FL 32228
Phone: 9042704309

DEVON SCHEFANO (NPI# 1588907042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588907042
Entity Type Individual
Full Name DEVON SCHEFANO
Credential IDC
Practice Address 1204 Massey Ave
Mayport
FL 32228
Mailing Address 4878 Susanna Woods Ct
Jacksonville
FL 32257-5264
Practice Telephone 9042704309
Mailing Telephone 5092707502
Enumeration Date 2013-04-03
Last Update Date 2015-12-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 1204 MASSEY AVE
City MAYPORT
State FL
Zip Code 32228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
1235681545 Huriel A Rivera Aponte Military Health Care Provider Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 2016-11-03
1871950667 Julie Nicole Boisen General Practice Bldg 1320, Waterfront Medical, Mayport, FL 32228 2016-01-25
1134594245 Luis Figueroa Military Health Care Provider Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 2015-12-01
1790154813 Franklin Paul Mccullough Military Health Care Provider Bon Homme St Bldg 2480, Jacksonville, FL 32228 2015-09-18
1932512498 Mayport Refill Pharmacy Military/U.S. Coast Guard Pharmacy Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 2014-06-03
1366863102 Clayton Pascik Military Health Care Provider Bldg 1488 Massey Ave., Jacksonville, FL 32228 2013-12-20
1104267533 Joshua Israel Keil Optometrist Building 2104 Massey Avenue, Nas Mayport, FL 32228 2013-07-15
1851686554 Philip M Yam Psychiatry & Neurology Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 2011-06-10
1518297829 Mary Louise Allen Nurse Practitioner Massey Ave Bldg 2104, Mayport, FL 32228 2010-01-08
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578531992 L.v. Hall Jr. Military Health Care Provider Uss Samuel B. Roberts (ffg 58), Fpo Aa, Mayport, FL 34092-1512 2006-03-10
1982667804 Robert Lee King Military Health Care Provider Naval Branch Health Clinic, 2104 Massey Avenue, Mayport, FL 32228 2006-04-11
1013970946 David Glenn Strickland Military Health Care Provider 2104 Massey Ave, Nhbc Mayport, Mayport, FL 32228 2006-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740803725 Alanna Gonzalez Military Health Care Provider 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 2020-05-25
1538793849 Alberto Kris Cipollone Military Health Care Provider Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 2020-02-25
1376175794 James Ernest Claypool Military Health Care Provider 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 2020-02-05
1831729821 Michael O'connell Military Health Care Provider 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 2020-01-19
1508404062 Anthony Briel Military Health Care Provider 305 S Crag Road, Panama City, FL 32444 2019-12-16
1043863079 Jenny Lee Mahoney Military Health Care Provider 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 2019-07-18
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
1992230429 George Williams Osorio Military Health Care Provider 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 2017-04-21
1235681545 Huriel A Rivera Aponte Military Health Care Provider Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 2016-11-03
1619420536 Justin Allan Willis Military Health Care Provider 8353 Iris Ave, Seminole, FL 33777-3643 2016-07-27
Find all providers with the same taxonomy

Competitor

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City MAYPORT
Zip Code 32228

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Dataset Information

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.

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