WIL EDVARD GERMAIN (NPI# 1720348592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720348592 |
| Entity Type | Individual |
| Full Name | WIL EDVARD GERMAIN |
| Credential | M.D. |
| Practice Address |
10752 Deerwood Park Blvd South Waterview II Suite 100 Jacksonville FL 32256-4849 |
| Mailing Address |
12058 San Jose Blvd Jacksonville FL 32223-8666 |
| Practice Telephone | 9047551017 |
| Practice Fax Number | 6467740386 |
| Mailing Telephone | 9177037002 |
| Mailing Fax Number | 6467740386 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME137148 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
274054 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME137148 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
10752 DEERWOOD PARK BLVD SOUTH WATERVIEW II SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982701520 | Anthony Serle | Chiropractor | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2006-09-17 |
| 1548805617 | Impact 13 Medical, Pllc | Social Worker | 10752 Deerwood Park Blvd, South Waterview II Suite 100, Jacksonville, FL 32256 | 2019-11-13 |
| 1134652472 | Michael Bauer | Behavior Technician | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2017-04-04 |
| 1164965158 | Therapy-interventions | Counselor | 10752 Deerwood Park Blvd, Suite, Jacksonville, FL 32256-4849 | 2016-11-23 |
| 1720432099 | Trading-interventions | Counselor | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2016-04-22 |
| 1023462710 | Colleen H Wright Lmhc | Counselor | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2016-04-19 |
| 1659613685 | Kd's Helping Hand Home Care, LLC | Home Health | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2013-03-15 |
| 1417144452 | Sandi Lea Sage | Counselor | 10752 Deerwood Park Blvd, Suite 100, Jacksonville, FL 32256-4849 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548490527 | Jusleen C Kendhari | Psychiatry & Neurology | 1650 Prudential Dr Ste 201, Jacksonville, FL 32207-8149 | 2009-07-23 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1033567797 | Shirley Diana Angela Alleyne | Psychiatry & Neurology | 580 W 8th St, 580 West 8th Street, Jacksonville, FL 32209-6533 | 2016-06-02 |
| 1083073092 | Chirag V Desai Md LLC | Psychiatry & Neurology | 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 | 2016-02-18 |
| 1003200247 | Aylin Saner Emmert | Psychiatry & Neurology | 1650 Prudential Dr Ste 210, Jacksonville, FL 32207-8149 | 2015-03-25 |
| 1669881470 | Miriam Altagracia Dickson | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207 | 2014-08-05 |
| 1871801787 | Fact Specialized Services, Inc. | Psychiatry & Neurology | 127 Center St, Jacksonville, NC 28546-5708 | 2010-09-14 |
| 1528249125 | Blazen Draguljic | Psychiatry & Neurology | 820 Prudential Dr Ste 510, Jacksonville, FL 32207-8207 | 2007-11-25 |
| 1871793869 | Anoosh Salman | Psychiatry & Neurology | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2007-07-19 |
| 1992914659 | Laurie Ann Truog | Psychiatry & Neurology | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2007-05-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on WIL EDVARD GERMAIN.
| 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.