DR. ORLANDO CAMPOAMOR REDIN (NPI# 1437124179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437124179 |
| Entity Type | Individual |
| Full Name | DR. ORLANDO CAMPOAMOR REDIN |
| Credential | MD |
| Practice Address |
4126 Independent Dr Marianna FL 32448-4023 |
| Mailing Address |
403 E 11th St Panama City FL 32401-3409 |
| Practice Telephone | 8503944907 |
| Practice Fax Number | 8503944981 |
| Mailing Telephone | 8507475599 |
| Mailing Fax Number | 8508724131 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 6900 | PR | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ACN1197 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Ponce De Leon Ave, Ste 706, Midtown Bldg, San Juan, PR 00918 | 7877547290 | 7877547291 |
| Street Address |
4126 INDEPENDENT DR |
| City | MARIANNA |
| State | FL |
| Zip Code | 32448-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619491057 | Kayla Renae Sherrouse | Nurse Practitioner | 4126 Independent Dr, Marianna, FL 32448-4023 | 2017-07-27 |
| 1346778412 | Laura Knowles | Dentist | 4126 Independent Dr, Marianna, FL 32448-4023 | 2017-06-01 |
| 1174546824 | Carlos Andres Nieves Sr. | Dentist | 4126 Independent Dr, Marianna, FL 32448-4023 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356690846 | Stephanie James Tolin | Counselor | 2499 Pennsylvania Ave, Marianna, FL 32448 | 2012-08-30 |
| 1518085414 | Barbara M Kavanagh | Counselor | 3459 Seminole Lane, Marianna, FL 32448 | 2007-03-27 |
| 1235105818 | Daniel E Bontrager | Chiropractor | 4439 Jackson St, Marianna, FL 32448 | 2006-02-24 |
| 1760630156 | Judith Ann Hussey | Nurse Practitioner | 2944 Penn Ave Ste L, Marianna, FL 32448 | 2008-08-28 |
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1265541536 | Elyssa Waller | Chiropractor | 2525 Commercial Park Dr, Marianna, FL 32448-2522 | 2006-08-30 |
| 1962429340 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-07-16 |
| 1821698408 | Brandrail Brown | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2020-10-31 |
| 1437554623 | William Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2014-10-30 |
| 1528279742 | Douglas Carlton Neel Jr. | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2007-05-28 |
| Find all providers in zip 32448 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1790970788 | Nolberto Sanchez | General Practice | 2928 Daniels St, Marianna, FL 32446 | 2007-09-12 |
| 1558408997 | Efiong Okon Andem | General Practice | 4182 Baltzell St, Marianna, FL 32446-8262 | 2007-02-01 |
| 1447654876 | Family Care Center Corp | General Practice | 2928 Daniels St, Marianna, FL 32446-2912 | 2014-10-14 |
| 1538351184 | Reuben Bontrager | General Practice | 4439 Jackson St Ste B, Marianna, FL 32448-4660 | 2007-08-16 |
| 1992900708 | Robin Edward Albritton | General Practice | 4230 Hospital Dr Ste 210, Marianna, FL 32446-1955 | 2007-06-20 |
| 1699778886 | Nikorn Arunakul | General Practice | 4296 5th Avenue, Marianna, FL 32446 | 2005-05-23 |
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|---|---|---|---|---|
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| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.