FLORIDA MEDICAL PRACTICE PLAN INC (NPI# 1740611433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740611433 |
Entity Type | Organization |
Organization Name | FLORIDA MEDICAL PRACTICE PLAN INC |
Practice Address |
555 N Byron Butler Pkwy Perry FL 32347-2315 |
Mailing Address |
Po Box 3064300 Tallahassee FL 32306-4300 |
Practice Telephone | 8506452827 |
Practice Fax Number | 8506449399 |
Mailing Telephone | 8506452827 |
Mailing Fax Number | 8506449399 |
Enumeration Date | 2013-12-05 |
Last Update Date | 2013-12-05 |
Authorized Official Name | JOHN P FOGARTY (PRESIDENT) |
Authorized Official Telephone | 8506452827 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326386293 | Florida Medical Practice Plan Inc | General Practice | 2911 Roberts Ave, Tallahassee, FL 32310-5007 | 2013-01-28 |
Street Address |
555 N BYRON BUTLER PKWY |
City | PERRY |
State | FL |
Zip Code | 32347-2315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699770545 | Big Bend Operations | Technician/Technologist | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2005-06-16 |
1245707967 | Courtney Williams | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2018-10-31 |
1891223970 | Marsha Kelly Oxamendi | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-06-01 |
1295263168 | Sara K Shaw | Case Management | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-05-23 |
1992150916 | A New Dawn, A New Beginning, Inc | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-04-27 |
1881056711 | Linda Irvin | Nurse Practitioner | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-03-21 |
1982092110 | Tiffany Dee Kelley | Physical Therapy Assistant | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2014-12-22 |
1013346345 | Dawna Marie Haswell | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-11-07 |
1215364187 | Guillot Enterprises, LLC | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-10-08 |
1225370760 | Dawna M Haswell | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598964793 | James Alton Rawls Jr. | General Practice | 1 Buckeye Dr, Perry, FL 32348-7702 | 2007-07-17 |
1720483043 | Coastal Complete Care, Pa | General Practice | 100 Plantation Rd, Perry, FL 32348-6000 | 2014-10-29 |
1467757948 | Karen Ronquillo | General Practice | 402 E Ash St, Perry, FL 32347-2105 | 2011-01-14 |
1871764373 | James L Knecht D.o., Inc. | General Practice | 505 N 14th St, Perry, OK 73077-5021 | 2008-03-12 |
1114991122 | James Lee Knecht | General Practice | 505 N 14th St, Perry, OK 73077-5021 | 2006-02-15 |
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1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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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.