DR. JACK EFF (NPI# 1902138951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902138951 |
| Entity Type | Individual |
| Full Name | DR. JACK EFF |
| Credential | M.D. |
| Practice Address |
1556 Challenger Ave Davenport FL 33897-6404 |
| Practice Telephone | 8634206513 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD043079E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1556 CHALLENGER AVE |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1912130527 | Ismael Ruiz-de La Rosa I | General Practice | 111 Webb Dr Ste 475, Davenport, FL 33837 | 2009-08-29 |
| 1932301900 | James Richard Lucas | General Practice | 202 Broadway Ave., Davenport, OK 74026 | 2007-06-01 |
| 1366503583 | Reyna Isabel Lajara | General Practice | 127 Ridge Center Dr, Davenport, FL 33837-6401 | 2006-12-12 |
| 1265430961 | Quad City Family Physicians, PC | General Practice | 3940 N Marquette St, Davenport, IA 52806-4430 | 2005-07-07 |
| 1548681950 | Jmj3 Heritage, L.L.C. | General Practice | 3800 Commerce Blvd, Davenport, IA 52807-3495 | 2014-01-02 |
| 1144510124 | Keyshla Marie Rivera Baez | General Practice | 111 Webb Dr, Davenport, FL 33837 | 2011-04-12 |
| 1477709160 | Ladapo Shyngle | General Practice | 121 Webb Dr, Suite 100, Davenport, FL 33837-3904 | 2008-08-13 |
| 1093852113 | Teodoro Medina | General Practice | 111 Webb Dr, Davenport, FL 33837-3962 | 2007-01-30 |
| 1306802905 | Charlene Edmee D'acosta | General Practice | 111 Webb Dr, Davenport, FL 33837 | 2006-04-22 |
| Find all providers in DAVENPORT | ||||
Please comment or provide details below to improve the information on DR. JACK EFF.
| 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.