CLYDE C VANTERPOOL MD PA


Address: 4151 Sun N Lake Blvd, Sebring, FL 33872-2131
Phone: 8634020881

CLYDE C VANTERPOOL MD PA (NPI# 1437516689) 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) 1437516689
Entity Type Organization
Organization Name CLYDE C VANTERPOOL MD PA
Practice Address 4151 Sun N Lake Blvd
Sebring
FL 33872-2131
Mailing Address 4151 Sun N Lake Blvd
Po Box 9034
Sebring
FL 33872-2131
Practice Telephone 8634020881
Practice Fax Number 8633149600
Mailing Telephone 8634020881
Mailing Fax Number 8633149600
Enumeration Date 2016-01-19
Last Update Date 2016-01-19
Authorized Official Name CLYDE CALENSO VANTERPOOL (OWNER)
Authorized Official Telephone 8634020881
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME67760 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 377470800 05

Office Location

Street Address 4151 SUN N LAKE BLVD
City SEBRING
State FL
Zip Code 33872-2131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609382738 Georgiann Rice Counselor 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 2017-12-27
1124569751 Zechariah Paolo Martinez Dominguez Nurse Practitioner 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 2017-03-15
1265752158 Livia Machado Blanchette Pharmacist Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 2010-06-02
1932421989 Renuka Deonarinesingh Physician Assistant 4958 Sun 'n Lake Blvd, Sebring, FL 33872 2010-02-18
1568624427 Deepti Bhandare Internal Medicine 4638 Sun'n Lake Blvd, Sebring, FL 33872 2008-07-01
1154527687 Jennifer Marie Ushka Speech-Language Pathologist 4501 Darnell Dr, Sebring, FL 33872 2007-06-22
1922024850 Roger Lee Wittum Internal Medicine 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 2006-07-14
1902835176 Shahnaz Punjani Internal Medicine 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 2006-07-01
1467450171 Ronald Andrew Chee-awai Urology 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 2005-07-07
1699315887 Kir Advance Medical Transportation.inc Private Vehicle 4117 Cortez Blvd, Sebring, FL 33872 2020-01-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558767285 Vito Urso Specialist 3210 Lakeview Dr Apt 87, Sebring, FL 33870-7927 2014-11-06
1912346677 Surgical Center At Sun N Lake Anesthesia, LLC Specialist 2367 Us Highway 27 S, Sebring, FL 33870-4926 2013-06-17
1538338991 Diana Deane Carr Specialist 131 Us Highway 27 N, Sebring, FL 33870-2100 2008-02-29
1295946689 Cheryl S Martz Specialist 227 Kite Ave, Sebring, FL 33870-6718 2007-05-25
1003025354 Terri C Johns Specialist 1123 Us Highway 27 S, Sebring, FL 33870-2171 2007-05-22
1508899402 Gary Montsdeoca Specialist 4343 Sun N Lake Blvd, Suite B, Sebring, FL 33872-2162 2006-07-07
1386687630 Fernando Rivabem Specialist 3600 South Highlands Ave., Sebring, FL 33870 2006-06-14
1245271626 Sebring Neurology Clinic Pa Specialist 3220 Physicians Way, Sebring, FL 33870-5447 2006-06-09
1184674988 Jose R Thomas-richards Specialist 3750 Emergency Ln, Suite 1, Sebring, FL 33870-5536 2006-05-11
1265426225 Yvette M Mccrea-ryan Specialist 9 Ryant Blvd, Sebring, FL 33872-4075 2005-09-07
Find all providers in SEBRING

Competitor

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City SEBRING
Zip Code 33872

Improve Information

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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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