Individual provider Active NPI

Dwidgelyne Maxime Remogene, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1114590106
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012921 Issued in FL
Practice address
611 S Howard Ave
Tampa, FL 33606-2412
Phone
(813) 259-9911
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11012921 FL Primary

Addresses

Primary practice location

611 S Howard Ave
Tampa, FL 33606-2412

Mailing address

611 S Howard Ave
Tampa, FL 33606-2412
Phone (813) 259-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002731 FL Practitioner - Nurse Practitioner 3870991623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11012921FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Jul 17, 2023 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

8773 Boynton Beach Blvd
Unit 500
Boynton Beach, FL 33472
Phone (561) 576-7722

4761 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 337-1588

2308 Pine Ridge Rd
Naples, FL 34109
Phone (239) 213-3601

2863 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 337-4116

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1114590106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062412",
            "telephone_number": "813-259-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062412",
            "telephone_number": "813-259-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMOGENE",
        "first_name": "DWIDGELYNE",
        "middle_name": "MAXIME",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.