MEDICAL VENTURES OF AMERICA (NPI# 1043261415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043261415 |
Entity Type | Organization |
Organization Name | MEDICAL VENTURES OF AMERICA |
Other Organization Name | LAKE REGIONAL URGENT CARE |
Practice Address |
8404 Us Highway 441 Leesburg FL 34788-4016 |
Mailing Address |
Po Box 1746 Lady Lake FL 32158-1746 |
Practice Telephone | 3523518881 |
Mailing Telephone | 3527505501 |
Mailing Fax Number | 3527505029 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RAYMOND DOMINICK (OWNER) |
Authorized Official Telephone | 3527505501 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE SHIELD PROVIDER # | B902B | 01 |
FL | BLS PROV NUMBER | 34537 | 01 |
Other Name | Type Code |
---|---|
LAKE REGIONAL URGENT CARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053869487 | Medical Ventures of America | Legal Medicine | 16890 Us Highway 441, Mount Dora, FL 32757-6705 | 2016-09-14 |
1265631519 | Medical Ventures of America | Clinic/Center | 910 Old Camp Rd, Prof Bldg 114, The Villages, FL 32162-5604 | 2007-07-17 |
1073576146 | Medical Ventures of America | Legal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-04-10 |
Street Address |
8404 US HIGHWAY 441 |
City | LEESBURG |
State | FL |
Zip Code | 34788-4016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194799569 | Raymond D Dominick | Emergency Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-02-14 |
1245757327 | Nicole Carter | Nurse Practitioner | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2017-08-29 |
1629028832 | Christina Proud | Internal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-10 |
1073576146 | Medical Ventures of America | Legal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
Find all providers in zip 34788 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306335112 | Convenient Virtucare | Clinic/Center | 4340 Antietam Creek Trl, Leesburg, FL 34748-1200 | 2018-05-07 |
1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
1538646534 | American Current Care P.a . | Clinic/Center | 210 S Lake St Ste 4, Leesburg, FL 34748-7369 | 2018-07-23 |
1386163087 | Loudoun Medical Group, P.C. | Clinic/Center | 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 | 2017-09-13 |
1205355906 | Loudoun Medical Group, P.C. | Clinic/Center | 211 Gibson St Nw Ste 215, Leesburg, VA 20176-2115 | 2017-09-13 |
1194163683 | Beckwith Medical Group, Pllc | Clinic/Center | 952 Edwards Ferry Rd Ne, Leesburg, VA 20176-3324 | 2013-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
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.