JOSE GUILLERMO MAZA SEGURA (NPI# 1467885640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467885640 |
| Entity Type | Individual |
| Full Name | JOSE GUILLERMO MAZA SEGURA |
| Credential | MD |
| Practice Address |
810 N Nowell Street Orlando FL 32808 UM |
| Mailing Address |
121 S Orange Ave Ste 940 Orlando FL 32801-3234 |
| Practice Telephone | 4072909556 |
| Practice Fax Number | 4072909505 |
| Mailing Telephone | 3213326947 |
| Mailing Fax Number | 4076589688 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN545 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 18555 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012319300 | 05 |
| Street Address |
810 N NOWELL STREET |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1902448228 | Amilys Garcia Martin | General Practice | 1140 S Semoran Blvd Ste E, Orlando, FL 32807-1459 | 2019-10-09 |
| 1376005009 | Rejuvenation Care Clinic of Central Florida | General Practice | 12221 E Colonial Dr Apt 1105, Orlando, FL 32826-4762 | 2019-04-02 |
| 1073082236 | Medical Golden Clinic LLC | General Practice | 4365 Hunters Park Ln # 10, Orlando, FL 32837-7614 | 2018-11-16 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1366958910 | Orlando Therapy Center, Inc | General Practice | 6900 S Orange Blossom Trl Ste 300, Orlando, FL 32809-5736 | 2017-12-19 |
| 1679084164 | H&h Care Center LLC | General Practice | 707 Mendham Blvd Ste 104, Orlando, FL 32825-3245 | 2017-10-24 |
| 1356871735 | Rebeca Lidia Perez Sanchez | General Practice | 13017 Islamorada Dr, Orlando, FL 32837-4789 | 2017-06-18 |
| Find all providers in ORLANDO | ||||
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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.