OMNICARE MEDICAL CENTER INC (NPI# 1073874145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073874145 |
| Entity Type | Organization |
| Organization Name | OMNICARE MEDICAL CENTER INC |
| Practice Address |
1805 W Colonial Dr Suite A Orlando FL 32804-7013 |
| Practice Telephone | 4075789142 |
| Practice Fax Number | 4075788616 |
| Mailing Telephone | 4075789142 |
| Mailing Fax Number | 4075788616 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | OWEN D FRASER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4075789142 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME30256 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 58757500 | 05 |
| Street Address |
1805 W COLONIAL DR SUITE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742317 | La Majesty Health Care LLC2 | Internal Medicine | 1805 W Colonial Dr, Orlando, FL 32804-7011 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941280 | Central Florida Anesthesia Services LLC | Clinic/Center | 110 W Underwood St Ste B, Orlando, FL 32806-1139 | 2019-03-14 |
| 1720335839 | Howard Eugene Gross | Clinic/Center | 8612 S Bay Dr, Orlando, FL 32819-4947 | 2012-08-08 |
| 1679729271 | Kyle M. Crofoot, M.d., P.a. | Clinic/Center | 1400 Hillcrest St, Orlando, FL 32803-4709 | 2008-08-14 |
| 1982860482 | Ear Nose and Throat Specialists of St Cloud LLC | Clinic/Center | 7575 Dr. Phillips Blvd, Suite 10, Orlando, FL 32819-7221 | 2008-08-04 |
| 1972766244 | Wellness Chiropractic Care Center | Clinic/Center | 9521 S. Orange Blossom Trl, Ste102, Orlando, FL 32837 | 2008-07-08 |
| 1669672044 | A. R. Copely, Jr, Pa | Clinic/Center | 1455 Holden Ave, Orlando, FL 32839-1702 | 2007-07-23 |
| 1598252090 | Regenerative Sport Spine and Spa | Clinic/Center | 10920 Moss Park Rd Ste 218, Orlando, FL 32832-6087 | 2018-04-19 |
| 1053760181 | Medsurg Healthcare Services, LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-06-09 |
| 1033499280 | Advanced Cardiac Screening, Pllc | Clinic/Center | 13000 Avalon Lake Dr, Suite 100, Orlando, FL 32828-6434 | 2011-08-19 |
| 1598087231 | Women's Healthcare of Orlando, Pa | Clinic/Center | 3701 Avalon Park West Blvd, Suite 230, Orlando, FL 32828-7303 | 2010-02-22 |
| 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.