LPS MEDICAL GROUP LLC (NPI# 1003151903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003151903 |
| Entity Type | Organization |
| Organization Name | LPS MEDICAL GROUP LLC |
| Practice Address |
1310 N Main St Ste 105 Kissimmee FL 34744-4244 |
| Practice Telephone | 4074837975 |
| Practice Fax Number | 8887725242 |
| Mailing Telephone | 4074837975 |
| Mailing Fax Number | 8887725242 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | DR. CRUZ ADELMIS SANTOS (PHYSICIAN) |
| Authorized Official Telephone | 4074764011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME107498 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007-666-400 | 05 | |
| FL | 004173700 | 05 | |
| FL | MEDICARE PTAN | FP292Y | 01 |
| FL | MEDICARE GROUP PTAN | HI271A | 01 |
| Street Address |
1310 N MAIN ST STE 105 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325228 | Florida Cosmetic Center LLC | Internal Medicine | 1420 Celebration Blvd Ste 314, Kissimmee, FL 34747-5161 | 2018-11-21 |
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1003320730 | Ams Medical Group | Internal Medicine | 2258 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4421 | 2017-11-16 |
| 1639530009 | Gme Services of Osceola | Internal Medicine | 800 West Oak St, Suite 808, Kissimmee, FL 34741 | 2016-03-14 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1639445166 | Salman Mandhai | Internal Medicine | 2400 N Orange Blossom Trl Ste 204, Kissimmee, FL 34744-2307 | 2012-03-29 |
| 1275820813 | Marcela Edith Perez Acosta | Internal Medicine | 806 W Oak Street, Kissimmee, FL 34740-1000 | 2011-07-04 |
| 1952697641 | Yahaira Ortiz Gonzalez | Internal Medicine | 1001 E Osceola Pkwy Ste 3200, Kissimmee, FL 34744-1617 | 2011-06-22 |
| 1982870507 | Vital Signs Physicians Fl Pl | Internal Medicine | 1504 Village Oak Lane, Kissimmee, FL 34746 | 2008-05-04 |
| 1003097262 | Instant Medical Care LLC | Internal Medicine | 3262 Vineland Road, Unit 102, Kissimmee, FL 34746 | 2007-11-16 |
| Find all providers in KISSIMMEE | ||||
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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.