GUILAINE DESTRAT (NPI# 1639627755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639627755 |
| Entity Type | Individual |
| Full Name | GUILAINE DESTRAT |
| Practice Address |
1313 E Fletcher Ave Tampa FL 33612-3629 |
| Mailing Address |
3350 W Hillsborough Ave Apt 1218 Tampa FL 33614-1309 |
| Practice Telephone | 3012667290 |
| Mailing Telephone | 3012667290 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
428798 | MD | Other Service Providers |
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CL1242744 | FL | Other Service Providers |
| Street Address |
1313 E FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1396215406 | Chantail Chavon Williams | Specialist | 5474 Williams Rd Ste 1b, Tampa, FL 33610-9345 | 2018-12-01 |
| 1689167710 | Tera Stewart | Specialist | 8022 N 56th St, Tampa, FL 33617-7600 | 2018-06-13 |
| 1962905182 | Fabulously Made Salon, LLC | Specialist | 8913 Regents Park Dr Ste 620, Tampa, FL 33647-3077 | 2018-03-14 |
| 1306345566 | Donette Kerr | Specialist | 1910 E 7th Ave, Tampa, FL 33605-3810 | 2018-02-02 |
| 1609375856 | Ybor City Elite Salon | Specialist | 1910 E 7th Ave Ste 102, Tampa, FL 33605-3810 | 2018-02-02 |
| 1154829711 | Johanna Y Amarante | Specialist | 20707 Center Oak Dr Ste 304, Tampa, FL 33647-3551 | 2018-01-30 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1851815302 | Adriana Jenkins | Specialist | 7402 N 56th St Ste 909, Tampa, FL 33617-7733 | 2017-07-26 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on GUILAINE DESTRAT.
| 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.