MR. DORNELL MISTER (NPI# 1104835750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104835750 |
| Entity Type | Individual |
| Full Name | MR. DORNELL MISTER |
| Credential | SOCIAL WORK |
| Practice Address |
5201 5201 Raymond St Orlando FL 32803 |
| Mailing Address |
2001 Glenridge Way Apt #48 Winter Park FL 32792 |
| Practice Telephone | 4076291599 |
| Mailing Telephone | 4076291599 |
| Mailing Fax Number | 4075991472 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-00571 | MI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 6802072553 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5201 5201 RAYMOND ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1104397629 | Spmj, Inc. | Counselor | 6735 Conroy Rd Ste 303, Orlando, FL 32835-3569 | 2018-12-10 |
| 1851868285 | Maria Madera | Counselor | 1516 E Colonial Dr Ste 101, Orlando, FL 32803-4726 | 2018-10-24 |
| 1578052460 | Aaron Clendenin | Counselor | 930 Fern Ave, Orlando, FL 32814-6029 | 2018-05-07 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1609399070 | Pablo Silva Ortiz | Counselor | 3234 Candle Ridge Dr, Orlando, FL 32822-3722 | 2017-07-18 |
| 1386097640 | Sebastian Amarante | Counselor | 4376 Middlebrook Rd, Orlando, FL 32811-3088 | 2016-07-21 |
| 1922460450 | Stephanie Paugh | Counselor | 1510 Cloverlawn Ave, Orlando, FL 32806-2444 | 2016-03-23 |
| 1659737237 | Tarra Duford | Counselor | 5741 Crowntree Ln, Ste.210, Orlando, FL 32829-8047 | 2016-01-12 |
| 1932572070 | Higuemota Martinez | Counselor | 120 S Alder Dr, Orlando, FL 32807-4970 | 2015-11-12 |
| 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.