LYNCOLN MUKESH BOODOO (NPI# 1457820391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457820391 |
| Entity Type | Individual |
| Full Name | LYNCOLN MUKESH BOODOO |
| Credential | APRN |
| Practice Address |
400 Celebration Pl Kissimmee FL 34747-4970 |
| Mailing Address |
1745 Boat Launch Rd Kissimmee FL 34746-4552 |
| Practice Telephone | 4073034772 |
| Mailing Telephone | 4074334945 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000204 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 CELEBRATION PL |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34747-4970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664424 | John Wang-hu | Pharmacist | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2020-09-16 |
| 1265040471 | Aksa Chacko | Nurse Practitioner | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2020-07-14 |
| 1407378235 | Jasper Christopher Castillo Casano | Physical Therapist | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2017-07-13 |
| 1588103691 | Chanel Alisa Alleyne | Nurse Practitioner | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2017-02-22 |
| 1245775873 | Chad Houchin | Physical Therapist | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2017-01-06 |
| 1205388089 | Alexis Pineda | Physical Therapist | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2016-10-27 |
| 1114392347 | Melissa Jane Hutton | Nurse Anesthetist, Certified Registered | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2015-12-14 |
| 1578905006 | Sarah Soffler | Pharmacist | 400 Celebration Pl, Suite A150, Kissimmee, FL 34747-4970 | 2013-07-25 |
| 1801924964 | David C Esser | Dentist | 400 Celebration Pl, A-260, Kissimmee, FL 34747-4970 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899127 | Cherlexia Nakeisha Manarino | Nurse Practitioner | 2478 Caravelle Cir, Kissimmee, FL 34746-5808 | 2020-10-19 |
| 1891303186 | Jeanne P Girodier | Nurse Practitioner | 1031 Dampierre Ct, Kissimmee, FL 34759-3462 | 2020-07-22 |
| 1518587930 | Anita Kaur Singh | Nurse Practitioner | 3225 Hillsdale Ln, Kissimmee, FL 34741-7561 | 2020-04-26 |
| 1881222560 | Shanika Duliepe | Nurse Practitioner | 3109 Bass Boat Way, Kissimmee, FL 34746-4545 | 2020-03-30 |
| 1588296156 | Genea Wragg | Nurse Practitioner | 3211 Golden Aurora St Apt 106, Kissimmee, FL 34746-2059 | 2020-02-11 |
| 1952940645 | Meyssell Chong Ferrera | Nurse Practitioner | 225 Farrington Ln, Kissimmee, FL 34744-5446 | 2019-12-30 |
| 1922644020 | Nancy Pettit Morgan | Nurse Practitioner | 400 Baxter Rd, Kissimmee, FL 34747-1342 | 2019-11-23 |
| 1821639972 | Gipsi Guilarte | Nurse Practitioner | 612 Floral Dr, Kissimmee, FL 34743-9421 | 2019-09-30 |
| 1871144709 | Joanna Maria Bernardi | Nurse Practitioner | 222 Bromwich Dr, Kissimmee, FL 34758-2702 | 2019-09-23 |
| 1174188098 | Catherine S Santos | Nurse Practitioner | 400 Celebration Pl Ste 401, Kissimmee, FL 34747-4970 | 2019-05-06 |
| Find all providers in KISSIMMEE | ||||
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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.