LAURA DIAZ DE ORTIZ (NPI# 1295111672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295111672 |
| Entity Type | Individual |
| Full Name | LAURA DIAZ DE ORTIZ |
| Practice Address |
1651 N Semoran Blvd Orlando FL 32807-3575 |
| Mailing Address |
11513 Lake Underhill Rd Orlando FL 32825-5001 |
| Practice Telephone | 4072491234 |
| Practice Fax Number | 4072491755 |
| Mailing Telephone | 4072491234 |
| Mailing Fax Number | 4072491755 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME147279 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 108126000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1975 S John Young Pkwy Ste 204, Kissimmee, FL 347410603 | 4072491234 | 4072491755 |
| Street Address |
1651 N SEMORAN BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780104 | Josue H Cortes | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2005-06-14 |
| 1023545589 | Anthonella De Jesus Benitez Ojeda | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2017-05-16 |
| 1023540358 | Joanne Isabelle Decade | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2017-03-27 |
| 1700334497 | Hang Dao | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807 | 2016-09-12 |
| 1891148946 | Maria Owsik | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2016-07-13 |
| 1588013452 | Ruben Guadalupe Aponte | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2016-06-10 |
| 1811373533 | Sorangel Diaz Arias | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2015-08-04 |
| 1255714309 | Dhabia Al-najjar | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2015-07-08 |
| 1467849463 | Chirlyn Urena Paulino | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2015-04-17 |
| 1972900132 | Danielle Hernandez | Pediatrics | 1651 N Semoran Blvd, Orlando, FL 32807-3575 | 2014-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
| 1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
| 1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
| 1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
| 1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
| 1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
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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.