CALVERT VICTOR (NPI# 1720632839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720632839 |
| Entity Type | Individual |
| Full Name | CALVERT VICTOR |
| Credential | MA |
| Practice Address |
221 Sw Chapman Ave Port Saint Lucie FL 34984-4328 |
| Practice Telephone | 7247522033 |
| Practice Fax Number | 7722075467 |
| Mailing Telephone | 7247522033 |
| Mailing Fax Number | 7722075467 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
221 SW CHAPMAN AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34984-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800685 | Southern Mobile Labs | Technician, Pathology | 4132 Renova Ave, North Port, FL 34286-4281 | 2020-10-30 |
| 1215536214 | West Mobile Phlebotomy Corporation | Technician, Pathology | 807 Glencove Ave Nw, Palm Bay, FL 32907-7036 | 2020-10-21 |
| 1689280463 | Linda Snyder | Technician, Pathology | 611 N Wymore Rd Ste 220, Winter Park, FL 32789-2843 | 2020-09-17 |
| 1609482686 | Rachel Marcano Cruz | Technician, Pathology | 890 Barris Ln, Rockledge, FL 32955-4102 | 2020-09-16 |
| 1184238636 | Chantelle Debejare | Technician, Pathology | 5591 Sw 181st Ct, Dunnellon, FL 34432-2157 | 2020-09-02 |
| 1407467863 | Carole D Brown | Technician, Pathology | 4943 Docner St, New Port Richey, FL 34652-3424 | 2020-08-11 |
| 1356950711 | Maria Bordones | Technician, Pathology | 111 Barbera Dr, Davenport, FL 33897-4456 | 2020-07-30 |
| 1902414253 | Heather M Palonis | Technician, Pathology | 335 Moray Dr Sw, Palm Bay, FL 32908-6423 | 2020-07-22 |
| 1861000341 | Vonetta Barnwell | Technician, Pathology | 8019 Tompkins Sq, Orlando, FL 32807-8535 | 2020-07-21 |
| 1114545613 | Busy B Mobile LLC | Technician, Pathology | 2508 Belmont Ln # 2508, North Lauderdale, FL 33068-4296 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34984 |
Please comment or provide details below to improve the information on CALVERT VICTOR.
| 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.