GERALD MICELI


Address: 2777 Enterprise Rd, Orange City, FL 32763
Phone: 3867742550

GERALD MICELI (NPI# 1396705570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396705570
Entity Type Individual
Full Name GERALD MICELI
Credential M.D.
Practice Address 2777 Enterprise Rd
Orange City
FL 32763
Mailing Address Po Box 9671
Daytona Beach
FL 32120
Practice Telephone 3867742550
Mailing Telephone 3866767130
Enumeration Date 2006-03-23
Last Update Date 2013-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine ME62517 FL Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
ME62517 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 375335200 05
FL VHN ME62517 01
FL UNITED BENEFITS ME62517 01
FL BCBS 25294 01
FL MEDICARE ID 25294W 01
FL RAILROAD MEDICARE 460003874 01
FL UHC ME62517 01

Office Location

Street Address 2777 ENTERPRISE RD
City ORANGE CITY
State FL
Zip Code 32763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225005259 Vamsi Kallepalli Dentist 2777 Enterprise Rd, Orange City, FL 32763 2006-03-08
1659759827 Florida Health Care Plan, Inc Clinic/Center 2777 Enterprise Rd, Orange City, FL 32763-8310 2015-05-08
1861788390 Nikita P. Gosalia Internal Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2011-06-23
1619288396 Mili Varghese Family Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2010-06-28
1528387743 Rachel Love Quarberg Family Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2010-05-27
1538293824 Florida Health Care Plans Inc Pharmacy 2777 Enterprise Rd, Orange City, FL 32763-8310 2007-03-16
1235273285 Gregory E Mccarthy Internal Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2007-02-16
1265574800 John R Jutting Jr. Family Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2007-02-12
1497700223 Kris M Bly Emergency Medicine 2777 Enterprise Rd, Orange City, FL 32763-8310 2006-05-23
1922068949 David Dayton Legal Medicine 2777 Enterprise Rd, Orange City, FL 32763 2006-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852783 Khushboo Patel Nurse Practitioner 915 Harley Strickland Blvd, Orange City, FL 32763 2019-10-15
1598325466 Steves Hearingllc Hearing Aid Equipment 742 N Volucia Ave., Orange City, FL 32763 2019-06-13
1740762194 Jamie Elizabeth Price Speech-Language Pathologist 2705 Rebecca Lane Suite B, Orange City, FL 32763 2018-09-02
1841771821 Ashley Katherine Taylor Early Intervention Provider Agency 358 W Wisconsin Ave, Orange City, FL 32763 2018-08-27
1033636048 Kimberly Michelle Belk Social Worker 300 Treemonte Dr, Orange City, FL 32763 2017-08-30
1588198733 Adventist Health System/sunbelt, Inc. Clinic/Center 1320 Saxon Blvd, Orange City, FL 32763 2017-04-14
1629515333 Anewerface, Inc Clinic/Center Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 2017-01-20
1184073322 Carolyn Ann Damato Specialist/Technologist, Other 1350 13th Street, Orange City, FL 32763 2016-06-08
1225451784 Shamika Spencer Nurse Practitioner 932 Saxon Blvd Ste A, Orange City, FL 32763 2014-02-03
1972882314 Orange City Anesthesia Services LLC Anesthesiology 975 Town Center Dr Ste 100, Orange City, FL 32763 2011-08-16
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972766954 Charlene Trisha Robertson Internal Medicine 1081 Town Center Dr, Suite 200, Orange City, FL 32763-8360 2008-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922612886 The Sugar Doctors LLC Internal Medicine 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 2020-09-08
1144848292 Olga Kaliebe Md LLC Internal Medicine 2823 W Fountain Blvd, Tampa, FL 33609-4011 2020-07-06
1063037810 Endo Now LLC Internal Medicine 5460 Village Drive,viera, Rockledge, FL 32955 2020-06-08
1346873015 Chrysalis Health of Florida P.a. Internal Medicine 382 Ne 191st St # 52404, Miami, FL 33179-3899 2020-02-20
1598300741 Center for Integrative & Functional Endocrinology LLC Internal Medicine 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 2019-11-12
1346801834 Medical Centers of Miami LLC Internal Medicine 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 2019-06-25
1013402783 Thyroid Diabetes Endocrinology and Wellness Inc Internal Medicine 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 2018-06-26
1447750773 Smh Physician Services Inc Internal Medicine 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 2018-02-13
1376087593 Dar Endocrinology Services LLC Internal Medicine 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 2016-12-07
1073064127 Tampa General Medical Group Inc Internal Medicine 10740 Palm River Road, Ste 360, Tampa, FL 33619 2016-10-24
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Competitor

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City ORANGE CITY
Zip Code 32763

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Dataset Information

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.

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