DOC PAM, PA (NPI# 1295106334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295106334 |
| Entity Type | Organization |
| Organization Name | DOC PAM, PA |
| Practice Address |
201 N Lakemont Ave Suite 200 Winter Park FL 32792-3228 |
| Mailing Address |
1719 Loch Berry Rd Winter Park FL 32789-5221 |
| Practice Telephone | 3212034410 |
| Practice Fax Number | 3212034409 |
| Mailing Telephone | 3216622043 |
| Mailing Fax Number | 3212034409 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | PAMELA CHRISTINE TROUT (PRESIDENT) |
| Authorized Official Telephone | 3216622043 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME94271 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274282900 | 05 | |
| FL | DEA | BT9492810 | 01 |
| FL | FLORIDA STATE LICENSE | ME94271 | 01 |
| Street Address |
201 N LAKEMONT AVE SUITE 200 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360206 | Jared P. Reiss | Physician Assistant | 201 N Lakemont Ave, 700, Winter Park, FL 32792-3228 | 2005-07-15 |
| 1144752239 | Alex Orandi | Nurse Practitioner | 201 N Lakemont Ave, Winter Park, FL 32792-3228 | 2017-03-29 |
| 1982066783 | Brad Bourgeois | Nurse Practitioner | 201 N Lakemont Ave, Winter Park, FL 32792-3228 | 2016-03-22 |
| 1598133993 | Js Healthcare, Inc | Clinic/Center | 201 N Lakemont Ave, Suite 2300, Winter Park, FL 32792 | 2015-09-02 |
| 1487093316 | Comprehensive Dermatology and Dermatologic Surgery, Plc | Dermatology | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2013-06-25 |
| 1467795286 | Florida Vein Care Specialists, LLC | Surgery | 201 N Lakemont Ave, Ste 700, Winter Park, FL 32792-3228 | 2013-03-29 |
| 1346423308 | Jenelle Hovde | Audiologist | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2007-12-13 |
| 1225239072 | Christopher Savage | Otolaryngology | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2007-05-30 |
| 1639388762 | Thomas Charles Lawton | Dentist | 201 N Lakemont Ave, Suite 400, Winter Park, FL 32792-3228 | 2007-05-22 |
| 1225159437 | Brett Thomas Lawton | Dentist | 201 N Lakemont Ave, Suite 400, Winter Park, FL 32792-3228 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645011 | Guardian Health Services | Clinic/Center | 483 N Semoran Blvd Ste 204, Winter Park, FL 32792-3800 | 2019-08-22 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1588902415 | Winter Park Primary Care | Clinic/Center | 190 E Morse Blvd, Winter Park, FL 32789-3874 | 2013-01-28 |
| 1740512631 | Florida Family Physicians LLC | Clinic/Center | 2045 Glenwood Dr, Winter Park, FL 32792-3307 | 2010-02-03 |
| 1447330592 | Farzana Rahman Khan | Clinic/Center | 201 N Lakemont Ave Ste 500, Winter Park, FL 32792-3200 | 2006-10-16 |
| 1720506603 | Optumcare Florida Ci, LLC | Clinic/Center | 2304 Aloma Ave Ste 100, Winter Park, FL 32792-3330 | 2017-08-31 |
| 1598133993 | Js Healthcare, Inc | Clinic/Center | 201 N Lakemont Ave, Suite 2300, Winter Park, FL 32792 | 2015-09-02 |
| 1295964393 | Hcs Primary Care Associates | Clinic/Center | 483 N Semoran Blvd, Suite# 104a, Winter Park, FL 32792-3800 | 2009-07-09 |
| 1407020837 | Alilin Family Medicine LLC | Clinic/Center | 7221 Aloma Ave, Suite 200, Winter Park, FL 32792-7119 | 2008-04-16 |
| 1588836670 | Orlando Family Medical Center, LLC | Clinic/Center | 5542 Lake Howell Rd, Winter Park, FL 32792-1036 | 2008-03-28 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
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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.