CENTER OF CHANGE INC. (NPI# 1306353842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306353842 |
Entity Type | Organization |
Organization Name | CENTER OF CHANGE INC. |
Other Organization Name | CENTER OF CHANGE INC. |
Practice Address |
235 Citrus Tower Blvd Ste 104 Clermont FL 34711 |
Mailing Address |
235 Citrus Tower Boulevard Suite 104 Clermont FL 34711 |
Practice Telephone | 7726632492 |
Mailing Telephone | 3524048160 |
Mailing Fax Number | 3524048560 |
Enumeration Date | 2018-01-05 |
Last Update Date | 2018-09-05 |
Authorized Official Name | DR. OBED N SAINT-LOUIS (OWNER) |
Authorized Official Telephone | 7726632492 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ME216938 | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Center of Change Inc. | Former Legal Business Name - Organization |
Street Address |
235 CITRUS TOWER BLVD STE 104 |
City | CLERMONT |
State | FL |
Zip Code | 34711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
Find all providers in zip 34711 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134746878 | Unlimited Medical Services of Florida, Pl | General Practice | 701 E Sr 50 Ste 731c, Clermont, FL 34711-3165 | 2020-06-29 |
1598307548 | Rohinie Hereman | General Practice | 609 Skyridge Rd, Clermont, FL 34711-5287 | 2019-10-10 |
1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
1750486635 | Maria E Hernandez | General Practice | 364 Chestnut St, Clermont, FL 34711-3022 | 2006-09-14 |
1346274982 | Yamillie S Ortiz Lopez | General Practice | 16215 Sr 50 Ste 102, Clermont, FL 34711-6019 | 2006-07-10 |
1194793927 | Jessica Maisonave | General Practice | 1735 E Highway 50 Ste B, Clermont, FL 34711 | 2006-03-09 |
1487637476 | Nanette Amanda Ortiz | General Practice | 200 E Highland Ave Ste 1, Clermont, FL 34711 | 2005-11-22 |
1720526239 | Hunaldo J. Villalobos, M.d., P.a. | General Practice | 2440 Hooks St, Clermont, FL 34711-3514 | 2017-02-03 |
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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.