MR. JAMES ARTHUR VESTAL (NPI# 1720121692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720121692 |
Entity Type | Individual |
Full Name | MR. JAMES ARTHUR VESTAL |
Credential | MASSAGE THERAPIST |
Practice Address |
2300 Se 4th Ave Fort Lauderdale FL 33316-3902 |
Practice Telephone | 9546983359 |
Mailing Telephone | 9546983359 |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA0011575 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | LICENSE NUMBER | MA0011575 | 01 |
FL | TAX I. D. | EIN-0783358 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770579161 | James C Vestal | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2005-09-21 |
Street Address |
2300 SE 4TH AVE |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33316-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
Find all providers in zip 33316 |
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 |
---|---|---|---|---|
1467068288 | Frank Scaturro | Massage Therapist | 205 Ne 16th Ter, Fort Lauderdale, FL 33301-3820 | 2020-09-17 |
1982210753 | Nuttapol Kenny Zateeya | Massage Therapist | 2807 Ne 21st Ter, Fort Lauderdale, FL 33306-1215 | 2020-09-17 |
1215542220 | Treisa Heights | Massage Therapist | 2787 E Oakland Park Blvd Ste 401, Fort Lauderdale, FL 33306-1632 | 2020-09-15 |
1093329062 | Nadja Turner | Massage Therapist | 830 Sw 27th St, Fort Lauderdale, FL 33315-2636 | 2020-09-07 |
1689288870 | Sharon Luongo | Massage Therapist | 450 Ne 5th St Unit 133, Fort Lauderdale, FL 33301-3458 | 2020-09-03 |
1629682018 | Shannon Lee Burns | Massage Therapist | 223 Lauderdale Trl, Fort Lauderdale, FL 33312-7127 | 2020-09-02 |
1316551013 | Randi Nina West | Massage Therapist | 3532 N Ocean Blvd, Fort Lauderdale, FL 33308-6752 | 2020-09-01 |
1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
1487110276 | Gregg Robert Bromberg | Massage Therapist | 3900 Galt Ocean Dr Apt 2015, Fort Lauderdale, FL 33308-6611 | 2019-02-16 |
Find all providers in FORT LAUDERDALE |
City | FORT LAUDERDALE |
Zip Code | 33316 |
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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.