EPOC CLINIC LLC (NPI# 1376772699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376772699 |
| Entity Type | Organization |
| Organization Name | EPOC CLINIC LLC |
| Practice Address |
609 Virginia Dr Orlando FL 32803-1844 |
| Practice Telephone | 4078982046 |
| Practice Fax Number | 4078982218 |
| Mailing Telephone | 4078982046 |
| Mailing Fax Number | 4078982218 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | DR. JAMES S PENDERGRAFT III (MANAGER) |
| Authorized Official Telephone | 4078982046 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
609 VIRGINIA DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913073 | Zvi Harry Perper | Obstetrics & Gynecology | 609 Virginia Dr, Orlando, FL 32803-1844 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1568914091 | Physician Associates LLC | Obstetrics & Gynecology | 7243 Della Drive, Orlando, FL 32819-9999 | 2016-11-01 |
| 1922454354 | Luis G. Del Pilar Rodriguez | Obstetrics & Gynecology | 4170 W Town Center Blvd Ste 104, Orlando, FL 32837-5875 | 2016-05-04 |
| 1396149258 | Obstetrics and Gynecology Specialists of Central Florida, P.a. | Obstetrics & Gynecology | 930 S Semoran Blvd, Orlando, FL 32807-3005 | 2014-10-21 |
| 1417351743 | Physician Associates LLC | Obstetrics & Gynecology | 9679 Lake Nona Village Place, Suite 101, 103, and 104, Orlando, FL 32827-9999 | 2014-10-15 |
| 1417254178 | Mary Sue Makin | Obstetrics & Gynecology | 5108 Brenda Dr, Orlando, FL 32812-8717 | 2011-02-16 |
| 1750510087 | Orlando Women Center LLC | Obstetrics & Gynecology | 1103 Lucerne Ter, Orlando, FL 32806-1016 | 2009-07-08 |
| 1679719587 | Womens Care Florida LLP | Obstetrics & Gynecology | 24 Sturtevant St, Orlando, FL 32806-2019 | 2008-12-23 |
| 1174775696 | Susanne V Osborne | Obstetrics & Gynecology | 3438 Lawton Rd # 2b, Orlando, FL 32803-2948 | 2008-10-15 |
| 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.