UNIVERSITY DIAGNOSTIC INSTITUTE WINTER PARK PLLC (NPI# 1417917253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417917253 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DIAGNOSTIC INSTITUTE WINTER PARK PLLC |
| Practice Address |
111 N Lakemont Ave Winter Park FL 32792-3213 |
| Practice Telephone | 4079753315 |
| Practice Fax Number | 4076910316 |
| Mailing Telephone | 4079753315 |
| Mailing Fax Number | 4076910316 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MR. MICHAEL LAMB (CEO) |
| Authorized Official Telephone | 4079753315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 263170900 | 05 |
| Street Address |
111 N LAKEMONT AVE |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730162785 | George A Stanley | Radiology | 111 N Lakemont Ave, Winter Park, FL 32792-3213 | 2005-11-23 |
| 1689089070 | Winter Park Medicine LLC | Specialist | 111 N Lakemont Ave, Winter Park, FL 32792-3213 | 2014-06-25 |
| 1336589571 | Cohen Surgical Center | Clinic/Center | 111 N Lakemont Ave, Suite 2-d, Winter Park, FL 32792-3213 | 2013-07-02 |
| 1346599016 | Orlando Physician Specialists LLC | Urology | 111 N Lakemont Ave, Suite 2d, Winter Park, FL 32792-3213 | 2012-09-10 |
| 1326362039 | Krissi Reeber | Physician Assistant | 111 N Lakemont Ave, Suite 2-d, Winter Park, FL 32792-3213 | 2010-03-24 |
| 1083877286 | Hassan J Khan | Radiology | 111 N Lakemont Ave, Winter Park, FL 32792-3508 | 2008-07-08 |
| 1174639017 | Antonio Certo | Anesthesiology | 111 N Lakemont Ave, Suite 2e, Winter Park, FL 32792-3217 | 2006-08-22 |
| 1922114875 | Pain Medicine Specialists Inc | Pain Medicine | 111 N Lakemont Ave, Suite 2e, Winter Park, FL 32792-3217 | 2006-08-22 |
| 1588670087 | Sheril K Stansberry | Internal Medicine | 111 N Lakemont Ave, 2c, Winter Park, FL 32792-3213 | 2006-08-01 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396904496 | Timken Radiology Pa | Clinic/Center | 200 N Orlando Ave, Winter Park, FL 32789-3666 | 2008-06-03 |
| 1003456773 | Ohri, LLC | Clinic/Center | 1111 W Fairbanks Ave, Winter Park, FL 32789-4720 | 2020-01-10 |
| 1497813034 | Florida Radiology Centers LLC | Clinic/Center | 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3803 | 2006-12-05 |
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| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
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| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on UNIVERSITY DIAGNOSTIC INSTITUTE WINTER PARK PLLC.
| 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.