GARDEN OF EDEN MEDICAL GROUP LLC (NPI# 1194243261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194243261 |
| Entity Type | Organization |
| Organization Name | GARDEN OF EDEN MEDICAL GROUP LLC |
| Practice Address |
5401 S Kirkman Rd Ste 310 Orlando FL 32819-7937 |
| Practice Telephone | (407) 442-0263 |
| Mailing Telephone | 4074420263 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | JUDITH THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 4074420263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5401 S KIRKMAN RD STE 310 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-7937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306131529 | Moresa Culbreath | Psychologist | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2011-06-15 |
| 1518430032 | Tequila Golden | Nurse Practitioner | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2019-01-08 |
| 1619467537 | Leah Lake | Adult Companion | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2018-05-16 |
| 1912405556 | You Choose Home Health LLC | Home Health | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2018-01-29 |
| 1811407356 | Holo Wellness LLC | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2017-10-11 |
| 1730612185 | Divine Deliverance Therapy Services, LLC | Occupational Therapy Assistant | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2017-04-04 |
| 1902267891 | Labrina Jackson | Speech-Language Pathologist | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2016-03-19 |
| 1184025579 | Jennifer Guerriero | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2014-09-04 |
| 1972869261 | Ashley Nicole Morris | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531126 | Clement Clinic Pa | Internal Medicine | 1317 Edgewater Dr # 2468, Orlando, FL 32804-6350 | 2020-09-08 |
| 1104475466 | Io Medical, Pllc | Internal Medicine | 11954 Narcoossee Rd Ste 2-108, Orlando, FL 32832-6998 | 2019-09-10 |
| 1487211769 | Premier Healthcare Solutions LLC | Internal Medicine | 8958 Conroy Windermere Rd, Orlando, FL 32835-3128 | 2019-05-22 |
| 1730646787 | Magic Medical Group Inc. | Internal Medicine | 9421 S Orange Blossom Trl Ste 19, Orlando, FL 32837-8320 | 2019-02-26 |
| 1902361629 | Jeff Valsin | Internal Medicine | 453 N Kirkman Rd Ste 203453, Orlando, FL 32811-1109 | 2019-02-06 |
| 1427525963 | Colmedical Care | Internal Medicine | 7824 Lake Underhill Rd Ste A, Orlando, FL 32822-8201 | 2018-11-01 |
| 1629568159 | Fortis Medical Group, LLC | Internal Medicine | 1803 Park Center Dr Ste 103, Orlando, FL 32835-6216 | 2018-05-10 |
| 1629570262 | Rolon Medical Pllc | Internal Medicine | 7680 Lower Gateway Loop Unit 518, Orlando, FL 32827-7195 | 2018-02-28 |
| 1275068975 | Donald Mark Demke | Internal Medicine | 11579 Acosta Ave, Orlando, FL 32836-8880 | 2017-05-01 |
| 1932649829 | Veronica E Scholer Caldentey Sr. | Internal Medicine | 11958 Inagua Dr, Orlando, FL 32827-7136 | 2017-02-27 |
| 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.