DIVINITY GROUP, INC. (NPI# 1710415195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710415195 |
Entity Type | Organization |
Organization Name | DIVINITY GROUP, INC. |
Other Organization Name | BALIMMUNE |
Practice Address |
1223 Enterprise Dr Unit A Port Charlotte FL 33953-3847 |
Practice Telephone | (941) 249-1609 |
Practice Fax Number | 9416139524 |
Mailing Telephone | 9412491609 |
Mailing Fax Number | 9416139524 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |
Authorized Official Name | MR. ANTHONY VIGLIOTTI (VICE PRESIDENT) |
Authorized Official Telephone | 9412491609 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Balimmune | Doing Business As Name - Organization |
Street Address |
1223 ENTERPRISE DR UNIT A |
City | PORT CHARLOTTE |
State | FL |
Zip Code | 33953-3847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376079368 | Dawn Olson | Developmental Therapist | 14299 Silver Lakes Cir, Port Charlotte, FL 33953 | 2017-05-11 |
1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
1528069192 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 779 Tamiami Trail, Ste 8, Port Charlotte, FL 33953 | 2005-08-09 |
1720210404 | Elaine F Pyzikiewicz | Massage Therapist | 474 Lomond Dr, Port Charlotte, FL 33953-1526 | 2009-08-14 |
1013313212 | Kathleen Spencer | Speech-Language Pathologist | 15152 Buswell Ave, Port Charlotte, FL 33953-2007 | 2014-11-15 |
1235426719 | Christina M Parker | Nurse Practitioner | 430 Border St, Port Charlotte, FL 33953-2015 | 2011-07-05 |
1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
1326552001 | Vladislav Zalevskiy | Massage Therapist | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2017-11-16 |
1154502284 | Pascal Bordy Md Pa | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-11-16 |
1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
Find all providers in zip 33953 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
1093322117 | Charlotte Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 675 Tamiami Trl Ste 6b, Port Charlotte, FL 33953-2900 | 2020-09-24 |
1427519776 | Trucare Med, Inc | Durable Medical Equipment & Medical Supplies | 1620 Tamiami Trl Ste 211, Port Charlotte, FL 33948-4017 | 2019-03-28 |
1609332147 | Prescription Connection Inc. | Durable Medical Equipment & Medical Supplies | 4456 Tamiami Trl Ste B12, Port Charlotte, FL 33980-2136 | 2019-02-20 |
1902205305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Tamiami Trl, Port Charlotte, FL 33948-2136 | 2014-08-21 |
1265868517 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 4245 Kings Hwy Unit C, Port Charlotte, FL 33980-8416 | 2013-09-18 |
1174826846 | Harigopal Inc | Durable Medical Equipment & Medical Supplies | 21340 Gertrude Ave, Port Charlotte, FL 33952-5018 | 2010-12-17 |
1215240239 | Hansaraj Inc | Durable Medical Equipment & Medical Supplies | 3231 Tamiami Trl G, Port Charlotte, FL 33952-8031 | 2010-07-19 |
1780810184 | Lifestyle Hearing Aid Center, Lc | Durable Medical Equipment & Medical Supplies | 2221 Tamiami Trl, Suite C, Port Charlotte, FL 33948-2104 | 2009-06-01 |
1811167893 | Chernesky Patrick | Durable Medical Equipment & Medical Supplies | 2826 Tamiami Trl Ste 5, Port Charlotte, FL 33952-5167 | 2008-03-06 |
Find all providers in PORT CHARLOTTE |
City | PORT CHARLOTTE |
Zip Code | 33953 |
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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.