ASHLEY R VRECENAK


Address: 515 W State Road 434, Suite 210, Longwood, FL 32750-4981
Phone: 4073328080

ASHLEY R VRECENAK (NPI# 1639496565) 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) 1639496565
Entity Type Individual
Full Name ASHLEY R VRECENAK
Credential P.A.
Practice Address 515 W State Road 434
Suite 210
Longwood
FL 32750-4981
Practice Telephone 4073328080
Practice Fax Number 4072600602
Mailing Telephone 4073328080
Mailing Fax Number 4072600602
Enumeration Date 2010-05-03
Last Update Date 2016-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9105430 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 515 W STATE ROAD 434
SUITE 210
City LONGWOOD
State FL
Zip Code 32750-4981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295734309 Olen A Giles Specialist 515 W State Road 434, Suite 110a, Longwood, FL 32750-4981 2005-07-20
1326452822 Advanced Analgesia and Anesthesia, Inc Pain Medicine 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 2014-06-12
1669812269 Neel Vipin Patel Psychiatry & Neurology 515 W State Road 434, Longwood, FL 32750-4981 2013-06-27
1750729240 Roshan K Patel Family Medicine 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 2013-06-06
1144528522 Michael Lee Sampson Physician Assistant 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 2011-03-08
1457586547 Kathleen B Zendell Dermatology 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 2009-05-19
1275710758 Kemka S Ogburia Jr. Specialist 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 2008-01-27
1609064195 Urology Consultants Specialist 515 W State Road 434, 302, Longwood, FL 32750-4981 2007-10-09
1063608248 Susan Toth D.o.p.a. Family Medicine 515 W State Road 434, Suite 308, Longwood, FL 32750-4981 2007-09-20
1588794531 Giles Gastroenterology Center Pa Specialist 515 W State Road 434, Suite 110-a, Longwood, FL 32750-4981 2007-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902420920 Prn Speech Pathologists Speech-Language Pathologist 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 2020-06-05
1831743368 Shamar Anthony Marston Nurse Anesthetist, Certified Registered 555 W Fl - 434, Longwood, FL 32750 2019-08-01
1538639125 Omega Healthcare Solutions, LLC Case Management 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 2018-11-27
1013416080 Samantha Jane Roberts Specialist/Technologist, Other 163 W Bay Ave, Longwood, FL 32750 2018-02-06
1508375874 Cassandra Thompson-bailey Nurse Practitioner 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 2017-09-29
1740799535 Cornerstone Longwood Leasing, LLC Assisted Living Facility 480 E. Church Ave., Longwood, FL 32750 2017-09-25
1659890523 Melissa Shoshana Vigerito Marriage & Family Therapist 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 2017-09-12
1619498185 Calm Relief, LLC Massage Therapist 1855 W State Road 434, Ste 253, Longwood, FL 32750 2017-07-05
1497145148 Caitlin Rhea Hilligas Counselor 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 2015-02-03
1316344054 James David Rawlins Jr. Dentist 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 2014-11-24
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104128305 Abdul Samad Memon Physician Assistant 450 W Sr 434 Ste 3010, Longwood, FL 32750-5196 2010-11-22
1922232065 Gloria M Reyes- Ortiz Physician Assistant 225 W Highway 434, Suite 203, Longwood, FL 32750-4980 2009-05-04
1699846469 Amy Faith Russo Physician Assistant 1908 Boothe Cir, Longwood, FL 32750-6774 2006-11-13
1013093384 Leslie Suzann Horne Physician Assistant 451 S Milwee St, Longwood, FL 32750-4132 2006-10-30
1467484915 Raymond Hilton Physician Assistant 1250 Douglas Ave, Suite 101, Longwood, FL 32779-4978 2006-07-07
1356498307 Judith Ann Kaltenbach Physician Assistant 280 Wekiva Springs Rd, Suite 1000, Longwood, FL 32779-5946 2007-01-04

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NPI Name Taxonomy Address Enumeration
1255931325 Jonathan Thomas Nusbaum Physician Assistant 26160 Angelica Rd, Punta Gorda, FL 33955-1419 2020-10-28
1235738659 Kevin Marcus Luks Physician Assistant 10701 Santa Fe Dr, Hollywood, FL 33026-4955 2020-10-19
1245839521 Stephanie Clay Physician Assistant 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 2020-10-19
1104423755 Lou Joseph Schneggenburger Physician Assistant 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 2020-10-07
1235744582 Stephanie Graham Physician Assistant 1053 Bernice Rd, Rockledge, FL 32955-2201 2020-09-14
1790399483 Shyla Imani Kissoon Physician Assistant 4830 Nw 7th St, Plantation, FL 33317-1410 2020-09-01
1770193500 My Physician Online Physician Assistant 9540 Nw 23rd St, Coral Springs, FL 33065-4974 2020-08-06
1225647977 Robert Drew Singleton Physician Assistant 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 2020-07-29
1750990974 Andrea K Webber Physician Assistant 8119 Sw State Rd 200, Ocala, FL 34481-3448 2020-07-23
1851919526 Kyra Panni Physician Assistant 3857 Hartwood Ln, Jacksonville, FL 32216-1486 2020-07-09
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Competitor

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City LONGWOOD
Zip Code 32750

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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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