Michael Vandewalle (NPI# 1477676732, PAC ID# 2567455280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1477676732 |
PAC ID by PECOS | 2567455280 |
Professional Enrollment ID | I20110705000418 |
Full Name | Michael Vandewalle |
Organization Legal Name | FLORIDA THERAPY SERVICES INC |
Address |
1713 Mahan Dr Tallahassee FL 32308-1218 |
Phone Number | 8506816001 |
Gender | M |
Credential | DO |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 1974 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 9133022577 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
101308 | NORTHWEST FLORIDA COMMUNITY HOSPITAL |
100142 | JACKSON HOSPITAL |
100124 | SANTA ROSA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2944 Penn Ave, Suite L, Marianna, FL 32448-2741 | 8505265500 | FLORIDA THERAPY SERVICES INC |
1713 Mahan Dr, Tallahassee, FL 32308-1218 | 8506816001 | FLORIDA THERAPY SERVICES INC |
Organization Legal Name | FLORIDA THERAPY SERVICES INC |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen D Lipford | Nurse Practitioner | Florida Therapy Services Inc | 2944 Penn Ave, Suite L, Marianna, FL 32448-2741 |
Jennifer Suzette Byars | Nurse Practitioner | Florida Therapy Services Inc | 1834 Jaclif Ct A, Tallahassee, FL 32308-4400 |
Emma I Andem | Clinical Social Worker | Florida Therapy Services Inc | 459 Grace Ave, Panama City, FL 32401-2756 |
Scott Durrance | Nurse Practitioner | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
Miriam Elena De Jesus | Nurse Practitioner | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Ira L Weiner | Psychiatry | Florida Therapy Services Inc | 2711 W 15th St, Panama City, FL 32401-1366 |
Lorraine M Collins-fox | Nurse Practitioner | Florida Therapy Services Inc | 2944 Pennsylvania Ave L, Marianna, FL 32448-2741 |
Johnathan G Phillips | Clinical Social Worker | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Jerris N Grover | Nurse Practitioner | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Kelly Patricia Obrien | Clinical Social Worker | Florida Therapy Services Inc | 459 Grace Ave, Panama City, FL 32401-2756 |
Street Address |
1713 MAHAN DR |
City | TALLAHASSEE |
State | FL |
Zip | 32308-1218 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miriam Elena De Jesus | Nurse Practitioner | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Johnathan G Phillips | Clinical Social Worker | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Jerris N Grover | Nurse Practitioner | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Yolanda Monique Tingler | Clinical Social Worker | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Lani Michelle Magee | Clinical Social Worker | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Neal Duncan Smith | Clinical Social Worker | Florida Therapy Services Inc | 1713 Mahan Dr, Tallahassee, FL 32308-1218 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Find all physicians in zip 32308 |
City | TALLAHASSEE |
Zip Code | 32308 |
Specialty | PSYCHIATRY |
City + Specialty | TALLAHASSEE + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael Vandewalle.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.