JULIO GANDARILLAS (NPI# 1932730025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932730025 |
Entity Type | Individual |
Full Name | JULIO GANDARILLAS |
Credential | APRN-C |
Practice Address |
2062 Burlington Ave N St Petersburg FL 33713-8033 |
Mailing Address |
2062 Burlington Ave N St Petersburg FL 33713 |
Practice Telephone | 7277447189 |
Mailing Telephone | 7277447189 |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11005905 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2062 BURLINGTON AVE N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33713-8033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
Find all providers in zip 33713 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346857349 | Angelea N Koenig | Nurse Practitioner | 625 6th Ave S Ste 125, St Petersburg, FL 33701-4664 | 2020-09-24 |
1508479411 | Kendall Day Melendi | Nurse Practitioner | 6499 38th Ave N Ste B2, St Petersburg, FL 33710-1650 | 2020-08-28 |
1376160408 | Vicki Lynn Cory | Nurse Practitioner | 2315 7th St N, St Petersburg, FL 33704-3303 | 2020-07-06 |
1851917520 | Aushaunte F White | Nurse Practitioner | 6395 21st Way S, St Petersburg, FL 33712-5737 | 2020-06-18 |
1376182485 | Jermece Watts | Nurse Practitioner | 6101 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1141 | 2020-01-06 |
1619510864 | Tracie D Barber | Nurse Practitioner | 1049 27th Ave S, St Petersburg, FL 33705-3527 | 2019-10-21 |
1194367136 | Jessica Danielle Einwag Arnold | Nurse Practitioner | 1515 Eden Isle Blvd Ne Apt 32, St Petersburg, FL 33704-1718 | 2019-10-10 |
1588205678 | Lauren Bartkovsky | Nurse Practitioner | 10475 Gandy Blvd N Unit 1401, St Petersburg, FL 33702-2493 | 2019-10-01 |
1699337352 | Janae N Anderson | Nurse Practitioner | 1201 5th Ave N Ste 408, St Petersburg, FL 33705-1425 | 2019-07-02 |
1790246270 | Jonathan Andrew Clark | Nurse Practitioner | 5042 12th Ave N, St Petersburg, FL 33710-6011 | 2019-03-27 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33713 |
Please comment or provide details below to improve the information on JULIO GANDARILLAS.
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.