JULIE TIBAUD (NPI# 1710418322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710418322 |
| Entity Type | Individual |
| Full Name | JULIE TIBAUD |
| Practice Address |
3700 Curry Ford Rd B8 Orlando FL 32806-2677 |
| Practice Telephone | 4077796708 |
| Mailing Telephone | 4077796708 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities | |
| N | 376J00000X | Homemaker | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020485500 | 05 |
| Street Address |
3700 CURRY FORD RD B8 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184006488 | Teresa Casanova | Case Manager/Care Coordinator | 3700 Curry Ford Rd, Apt. M4, Orlando, FL 32806-2677 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707415 | Active Dl Services Inc. | Clinic/Center | 1830 Bel Air Ave, Orlando, FL 32812-8709 | 2020-07-09 |
| 1912523879 | Your Light Residential Care LLC | Clinic/Center | 2640 Albion Ave, Orlando, FL 32833-4342 | 2020-06-17 |
| 1477174225 | Meghan Mullany | Clinic/Center | 14815 Faberge Dr, Orlando, FL 32828-5119 | 2020-05-04 |
| 1447884457 | Immaculate Homecare Corp | Clinic/Center | 2204 Ashland Blvd, Orlando, FL 32808-4906 | 2020-02-28 |
| 1770116410 | Daphene Saintil | Clinic/Center | 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 | 2020-02-21 |
| 1225671514 | Annette I Vigeant | Clinic/Center | 19668 Mardi Gras St, Orlando, FL 32833-3720 | 2019-10-20 |
| 1225689284 | Marie Mickaelle Auguste | Clinic/Center | 1421 Magellan Cir, Orlando, FL 32818-6733 | 2019-09-21 |
| 1639737760 | Amanda Garcia Ruiz | Clinic/Center | 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 | 2019-06-04 |
| 1053976126 | Achille Family Nursing Care LLC | Clinic/Center | 12632 Boggy Pointe Dr, Orlando, FL 32824-4881 | 2019-05-04 |
| 1205499787 | K Brown Med-waiver Services Inc | Clinic/Center | 3250 Mahalia Pl, Orlando, FL 32805-2918 | 2019-04-19 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on JULIE TIBAUD.
| 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.