DR. MEHNAZ A JUNAGADHWALLA (NPI# 1154512705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154512705 |
| Entity Type | Individual |
| Full Name | DR. MEHNAZ A JUNAGADHWALLA |
| Credential | MD |
| Practice Address |
714 Doctors Dr Englewood FL 34223-3992 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 9414601300 |
| Practice Fax Number | 9414601306 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME100788 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
ME100788 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME100788 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P00467392 | 01 |
| FL | BCBS | 13836 | 01 |
| FL | 280402600 | 05 |
| Street Address |
714 DOCTORS DR |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223-3992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295774784 | Joyce A Jackowski | Nurse Practitioner | 714 Doctors Dr, Englewood, FL 34223-3992 | 2006-06-06 |
| 1568024537 | Amanda Marie Crosson | Nurse Practitioner | 714 Doctors Dr, Englewood, FL 34223-3992 | 2019-07-01 |
| 1326484536 | Kristen Michelle Gonter-aubin | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2013-05-14 |
| 1851525406 | Blessy Mathew Jacob | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223 | 2009-05-12 |
| 1164588695 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164588695 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079648 | The Oncology Institute Fl, LLC | Internal Medicine | 2105 W Watrous Ave, Tampa, FL 33606-3046 | 2020-09-23 |
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1770143752 | Raul Vera-gimon | Internal Medicine | 10730 Nw 66th St Apt 312, Doral, FL 33178-3708 | 2019-06-20 |
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1699243501 | Jose Armando Villamil | Internal Medicine | 8356 Sw 40th St Ste J, Miami, FL 33155-3356 | 2018-11-08 |
| 1790287878 | South Florida Cancer Institute | Internal Medicine | 1005 Marina Mile Blvd, Fort Lauderdale, FL 33315-2433 | 2018-03-05 |
| 1912350596 | Gilberto Lopes | Internal Medicine | 8345 Nw 66th St # 9886, Miami, FL 33195-2696 | 2016-07-19 |
| 1013382399 | Neil Howard Love | Internal Medicine | 2 S Biscayne Blvd, Ste 3600, Miami, FL 33131-1806 | 2015-12-11 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1275895047 | Ira D Stein | Internal Medicine | 19 Jewfish Ave, Key Largo, FL 33037-4711 | 2012-06-08 |
| 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.