FLORIDA HOSPITAL MEDICAL GROUP INC (NPI# 1073785044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073785044 |
| Entity Type | Organization |
| Organization Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Other Organization Name | ADVENTHEALTH MEDICAL GROUP RADIOLOGY |
| Practice Address |
601 E Rollins Street Orlando FL 32803 |
| Mailing Address |
900 Winderley Pl Ste 2100 Maitland FL 32751-4191 |
| Practice Telephone | 4072002355 |
| Mailing Telephone | 4072002355 |
| Mailing Fax Number | 4073030893 |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | HENDERSON PETER (DIRECTOR) |
| Authorized Official Telephone | 4072002227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AdventHealth Medical Group Radiology | Doing Business As Name - Organization |
| Radiology Specialist of Florida | Doing Business As Name - Organization |
| Radiology Specilaist of Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060033 | Florida Hospital Medical Group Inc | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2005-08-22 |
| 1225034234 | Florida Hospital Medical Group Inc | General Practice | 2600 Westhall Ln Fl 4, Maitland, FL 32751-7102 | 2005-06-23 |
| 1760715973 | Florida Hospital Medical Group Inc | Clinic/Center | 1925 Mizell Ave, Suite 306, Winter Park, FL 32792-4106 | 2009-09-08 |
| Street Address |
601 E ROLLINS STREET |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130063 | Heather Seckel | Nurse Practitioner | 601 E Rollins Street, Orlando, FL 32803 | 2005-08-02 |
| 1649714478 | Florida Hospital | General Acute Care Hospital | 601 E Rollins Street, Orlando, FL 32803 | 2016-12-13 |
| 1811251549 | Mollida Prak | Physician Assistant | 601 E Rollins Street, Orlando, FL 32803-1248 | 2012-06-27 |
| 1124393087 | Anna Nardo Wortel | Nurse Practitioner | 601 E Rollins Street, Orlando, FL 32804-1248 | 2012-03-12 |
| 1467725523 | Erica Danielle Hetrick | Nurse Practitioner | 601 E Rollins Street, Orlando, FL 32803-1468 | 2012-02-20 |
| 1497970495 | Judith E Sorrell | Nurse Practitioner | 601 E Rollins Street, Orlando, FL 32803-1248 | 2007-04-16 |
| 1588673289 | Maria C Carrillo | Internal Medicine | 601 E Rollins Street, Critical Care Specialists, Orlando, FL 32803-1468 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1598201998 | Prime Radiology of Pine Hills, Inc | Radiology | 828 Mercy Drive, Suite 4, Orlando, FL 32808 | 2017-01-10 |
| 1366829707 | Florida United Radiology, Lc | Radiology | 8732 Fernwicke Ct, Orlando, FL 32819-3830 | 2015-05-06 |
| 1326440926 | Pedro Miguel Soler Sr. | Radiology | 3310 Northglen Dr, Orlando, FL 32806-6339 | 2014-09-25 |
| 1881000149 | Shalin Mahesh Soni | Radiology | 601 E Rollins St Ste 400, Orlando, FL 32803-1248 | 2014-07-08 |
| 1770843179 | Charles William George | Radiology | 3519 Cullen Lakeshore Drive, Orlando, FL 32812 | 2012-05-21 |
| 1972860831 | Hsiang-jer Tseng | Radiology | 601 E Rollins St Ste 470a, Orlando, FL 32803 | 2012-04-17 |
| 1134390743 | Amir Paydar | Radiology | 2650 Dade Ave, Apt 1422, Orlando, FL 32804-4607 | 2008-03-23 |
| 1649452517 | Unitedrads, LLC | Radiology | 11253 S Apopka Vineland Rd, Orlando, FL 32836 | 2007-12-03 |
| 1225189897 | Robert Marshall | Radiology | 51 W Kaley St, Orlando, FL 32806-2942 | 2007-01-12 |
| Find all providers in ORLANDO | ||||
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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.