DR. KELLY E LAFAVE (NPI# 1376745612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376745612 |
| Entity Type | Individual |
| Full Name | DR. KELLY E LAFAVE |
| Other Name | KELLY ALLISON EVANS |
| Credential | MD |
| Practice Address |
483 N Semoran Blvd Ste 107 Winter Park FL 32792-3800 |
| Practice Telephone | 4075390722 |
| Practice Fax Number | 4075390723 |
| Mailing Telephone | 4075390722 |
| Mailing Fax Number | 4075390723 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME106904 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0022468 | 05 | |
| FL | MEDICARE ID | DJ631Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 N Clyde Morris Blvd, Daytona Beach, FL 321142709 | 3864254210 | 3864257725 |
| Street Address |
483 N SEMORAN BLVD STE 107 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3800 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417121302 | David Paul Buser | Radiology | 1561 W Fairbanks Ave Ste 100, Winter Park, FL 32789 | 2008-04-22 |
| 1598953622 | Florida Oncology Network Pa | Radiology | 2100 Glenwood Dr, Winter Park, FL 32792-3310 | 2007-10-15 |
| 1184626129 | Michael David Sombeck | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2005-08-10 |
| 1568941946 | Dpbmd, LLC. | Radiology | 1561 W Fairbanks Ave Ste 100, Winter Park, FL 32789-4678 | 2018-08-07 |
| 1932564978 | Florida Radiation Oncology Partners | Radiology | 483 N Semoran Blvd, Suite 107, Winter Park, FL 32792-3800 | 2015-12-17 |
| 1922482694 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-07-13 |
| 1821471533 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-06-30 |
| 1669768065 | Orlando Physician Specialists LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2011-06-23 |
| 1114212313 | Orlando First Land Partners LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2011-06-15 |
| 1669444725 | Jamie A Cesaretti | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2006-02-03 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on DR. KELLY E LAFAVE.
| 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.