GUSTAVO SEBASTIAN BERMUDEZ (NPI# 1902410228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902410228 |
| Entity Type | Individual |
| Full Name | GUSTAVO SEBASTIAN BERMUDEZ |
| Practice Address |
2776 Clipper Way Naples FL 34104-3392 |
| Practice Telephone | 2392726720 |
| Mailing Telephone | 2392726720 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA72996 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2776 CLIPPER WAY |
| City | NAPLES |
| State | FL |
| Zip Code | 34104-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393940 | Teresa Mary Furnari | Physical Therapy Assistant | Terracina Grand, 6824 Davis Blvd, Naples, FL 34104 | 2019-05-29 |
| 1205311305 | Terracina IIi, LLC | Skilled Nursing Facility | 6869 Davis Boulevard, Naples, FL 34104 | 2018-09-25 |
| 1942793302 | Priscila Pena | Technician, Other | 190 Manor Blvd Apt 1013, Naples, FL 34104 | 2018-06-11 |
| 1942792924 | Lorinda Jeanne Roy | Behavior Technician | 2675 Horseshoe Lane, Suite 404, Naples, FL 34104 | 2018-06-05 |
| 1669960613 | Sherry Lynn Francis | Behavior Technician | 723 Coldstream Ct, Naples, FL 34104 | 2018-04-25 |
| 1871049445 | James Eric Ashley | Social Worker | 2286 River Reach Drive, Naples, FL 34104 | 2016-09-01 |
| 1689944134 | Pamala K Bartz Halaschak | Pharmacist | 7301 Radio Rd., Naples, FL 34104 | 2011-12-30 |
| 1922303304 | Milissa A. Yeagley | Behavioral Analyst | 2675 Horseshoe Dr S Ste 404, Naples, FL 34104 | 2011-01-17 |
| 1003066291 | David Guy Malen | Psychiatry & Neurology | 4100 Corporate Square, 21, Naples, FL 34104 | 2008-09-24 |
| 1821129297 | Center for Behavioral Healthcare Pa | Psychologist | 3227 S Horseshoe Drive, Suite 101, Naples, FL 34104 | 2007-03-08 |
| Find all providers in zip 34104 | ||||
| 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 |
|---|---|---|---|---|
| 1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
| 1215536875 | Richard Andrew Craddock | Massage Therapist | 2745 Wild Pines Ln Apt 523, Naples, FL 34112-4753 | 2020-10-23 |
| 1386251320 | Julia M. E. Smith | Massage Therapist | 144 Cypress Way E Unit 702, Naples, FL 34110-9232 | 2020-09-24 |
| 1811502834 | Yenier Jesus Marrero Gonzalez | Massage Therapist | 9125 Glenforest Dr, Naples, FL 34120-5345 | 2020-09-15 |
| 1619581113 | Daniel Lopez | Massage Therapist | 3061 Sandpiper Bay Cir Apt J305, Naples, FL 34112-5502 | 2020-09-02 |
| 1760096440 | Eliza Chabior | Massage Therapist | 465 8th St N, Naples, FL 34102-5518 | 2020-09-01 |
| 1265082531 | Janice Decordova Rudeen | Massage Therapist | 278 Doe Rd, Naples, ID 83847 | 2019-09-18 |
| 1790259976 | Leimis Vazquez Milanes | Massage Therapist | 5274 Golden Gate Pkwy Ste 2, Naples, FL 34116-7641 | 2019-01-21 |
| 1730651464 | Andrew Rios | Massage Therapist | 2291 4th Ave Se, Naples, FL 34117-3735 | 2018-12-19 |
| 1336636661 | Nancy Gail Egan | Massage Therapist | 9853 Tamiami Trl N Ste 207, Naples, FL 34108-1995 | 2018-04-23 |
| Find all providers in NAPLES | ||||
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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.