DR. BORIS KAWLICHE (NPI# 1629162615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629162615 |
| Entity Type | Individual |
| Full Name | DR. BORIS KAWLICHE |
| Credential | M.D. |
| Practice Address |
407 N Parsons Ave Ste 104 Brandon FL 33510-4537 |
| Practice Telephone | 8136815880 |
| Practice Fax Number | 8136815958 |
| Mailing Telephone | (813) 681-5880 |
| Mailing Fax Number | 8136815958 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME66500 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 378031700 | 05 |
| Street Address |
407 N PARSONS AVE STE 104 |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730600495 | Brandon Tms & Psychiatry | General Practice | 407 N Parsons Ave Ste 104, Brandon, FL 33510-4537 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729736 | Ckmt Enterprises, LLC | Psychiatry & Neurology | 1119 Nikki View Dr, Brandon, FL 33511-4879 | 2017-09-13 |
| 1447644836 | Miriandra De Jesus Rivera | Psychiatry & Neurology | 615 Oakfield Dr, Brandon, FL 33511 | 2015-03-24 |
| 1336376953 | Holly Marie Kinget | Psychiatry & Neurology | 609 Bauxite Cv, Brandon, MS 39047-6509 | 2009-06-22 |
| 1982847083 | Psychiatric Care Center LLC | Psychiatry & Neurology | 342 E Bloomingdale Ave, Brandon, FL 33511-8155 | 2009-04-20 |
| 1891916177 | Walterine Herrington Bell | Psychiatry & Neurology | 548 Highway 468, Brandon, MS 39042-7900 | 2007-05-02 |
| 1528132149 | Rws Psychiatric Services Pa | Psychiatry & Neurology | 576 Bethel Rd, Brandon, MS 39042-7307 | 2006-11-17 |
| 1144394800 | Adrianus J Deruijter | Psychiatry & Neurology | 1427 Oakfield Dr, Brandon, FL 33511-2801 | 2006-11-17 |
| 1013014737 | Hany Botros Mikhail | Psychiatry & Neurology | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2006-09-17 |
| 1730114117 | Eric Jermaine Warren | Psychiatry & Neurology | 613 Marquette Rd, Brandon, MS 39042-3038 | 2006-07-12 |
| 1457317083 | Lendel Mark Taylor | Psychiatry & Neurology | 1454 Oakfield Dr, Brandon, FL 33511-4853 | 2006-04-22 |
| Find all providers in BRANDON | ||||
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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.