JIM FAZIO (NPI# 1629583976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629583976 |
| Entity Type | Individual |
| Full Name | JIM FAZIO |
| Practice Address |
4083 South Ushighway 1 Suite 102 Rockledge FL 32955 |
| Practice Telephone | 3214320775 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4083 SOUTH USHIGHWAY 1 SUITE 102 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| 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 |
|---|---|---|---|---|
| 1215449517 | Sean M Thompson Sr. | Massage Therapist | 550 Gus Hipp Blvd Ste 3, Rockledge, FL 32955-4821 | 2017-10-27 |
| 1164742169 | Sally Jo Miller | Massage Therapist | 1345 Us Highway 1, Rockledge, FL 32955-2855 | 2010-06-02 |
| 1134367444 | George Harold Trosset Jr. | Massage Therapist | 1340 Lara Cir Unit 103, Rockledge, FL 32955-4464 | 2009-01-23 |
| 1063612232 | Stephanie Zuaro | Massage Therapist | 1231 Florida Ave S, Rockledge, FL 32955-2423 | 2007-07-24 |
| 1215139548 | Candace Owen Burklew | Massage Therapist | 1009 Pinedale Rd, Rockledge, FL 32955-2206 | 2007-05-31 |
| 1902423403 | Eileen Savastano | Massage Therapist | 1978 Us Highway 1, Rockledge, FL 32955-3722 | 2020-06-30 |
| 1346720331 | Nessa Mattea Roach | Massage Therapist | 1978 Us Highway 1 Ste 107, Rockledge, FL 32955-3722 | 2018-08-19 |
| 1801210778 | Chance James Epps | Massage Therapist | 5410 Murrell Rd, Suit 125, Rockledge, FL 32955-6648 | 2014-02-12 |
| 1528353398 | Michelle Johnson | Massage Therapist | 1197 Us Highway 1, Rockledge, FL 32955-2713 | 2011-06-09 |
| 1598067696 | Patricia Anne Starr | Massage Therapist | 220 Coral Sands Dr, Suite 1, Rockledge, FL 32955-2720 | 2010-11-22 |
| Find all providers in ROCKLEDGE | ||||
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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.