DR. BRANDON KYLE MADDOX (NPI# 1972041531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972041531 |
| Entity Type | Individual |
| Full Name | DR. BRANDON KYLE MADDOX |
| Credential | D.V.M. |
| Practice Address |
11425 Overseas Hwy Marathon FL 33050-3628 |
| Practice Telephone | 3057436250 |
| Practice Fax Number | 3052897389 |
| Mailing Telephone | 3057436250 |
| Mailing Fax Number | 3052897389 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | VM-13981 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336238393 | Brandon Lane Maddox | Pharmacist | 217 E. Pinehurst Dr., Sioux Falls, SD 57108-2428 | 2006-10-11 |
| 1134268071 | Brandon Robert Maddox | Dentist | 1100 Rickard Rd, Suite B, Springfield, IL 62704-6301 | 2007-02-06 |
| Street Address |
11425 OVERSEAS HWY |
| City | MARATHON |
| State | FL |
| Zip Code | 33050-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659643898 | Michael Edward Dunn | Veterinarian | 11425 Overseas Hwy, Marathon, FL 33050-3628 | 2012-02-03 |
| 1013310770 | Nicole Corning | Veterinarian | 11425 Overseas Hwy, Marathon, FL 33050-3628 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622297 | Donald C Smith Jr. | Pharmacist | 5271 Overseas Highway, Marathon, FL 33050 | 2020-09-03 |
| 1831702752 | Sheryl Schwab | Counselor | 1361 Overseas Highway, Unit Island N, Marathon, FL 33050 | 2020-08-29 |
| 1578114666 | Rita Gonzalez | Counselor | Guidance/care Center, Inc. Wellness Center, 3000 41st Street Ocean, Marathon, FL 33050 | 2019-09-20 |
| 1922505809 | Sandy Riegor Pt LLC | Physical Therapist | 304 Coco Plum Street, Marathon, FL 33050 | 2018-04-09 |
| 1104342252 | Trey Ilgen | Counselor | 3000 41st St., Ocean, Marathon, FL 33050 | 2017-08-21 |
| 1366890063 | Jodi Jamison | Registered Nurse | 3000 41st Street, Marathon, FL 33050 | 2016-06-03 |
| 1699153510 | Amy Michelle Gertz | Marriage & Family Therapist | 6799 Overseas Highway, Unit 7, Marathon, FL 33050 | 2015-05-12 |
| 1427467992 | Victor Boadi | Pharmacist | 10870 Overseas Highway, Walgreens Pharmacy, Marathon, FL 33050 | 2014-08-08 |
| 1881994242 | Lori M Denny | Registered Nurse | 5180 Overseas Hwy, Marathon, FL 33050 | 2010-11-01 |
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| Find all providers in zip 33050 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293300 | Doreen Moroney | Prevention Professional | 2221 Harrison St, Titusville, FL 32780-4611 | 2018-07-30 |
| 1386130003 | Harvestreapersintl Chaplain Association | Prevention Professional | 5460 N State Road 7 Ste 122, Ft Lauderdale, FL 33319-2968 | 2018-07-05 |
| 1851807150 | Pink Wildlife LLC | Prevention Professional | 5130 Main St Ste 3, New Port Richey, FL 34652-2105 | 2017-12-21 |
| 1306371794 | Rami Brown | Prevention Professional | 126 White Fawn Dr, Daytona Beach, FL 32114-1459 | 2017-04-24 |
| 1417481698 | Maureen Holdreith Digulimio | Prevention Professional | 13755 Oleander Ave, Juno Beach, FL 33408-1623 | 2017-04-14 |
| 1851832075 | Cyndi Caballero | Prevention Professional | 253 Ne 2nd St Apt 610, Miami, FL 33132-2289 | 2017-03-20 |
| 1164963922 | Greg Perkins | Prevention Professional | 2161 Lake Debra Dr, Suite 1716, Orlando, FL 32835-6378 | 2017-03-13 |
| 1093254716 | Hathor Wellcare Center Inc | Prevention Professional | 14269 Sw 42nd St, Miami, FL 33175-6408 | 2017-02-14 |
| 1316486111 | Samuel Castillo | Prevention Professional | 7323 Sw 134th Pl, Miami, FL 33183-3241 | 2017-02-14 |
| 1356888366 | Acucentral LLC | Prevention Professional | 8180 Nw 36th St Ste 304, Doral, FL 33166-6660 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
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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.