FLORIDA RETINA AND VITREOUS CENTER (NPI# 1477659282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477659282 |
| Entity Type | Organization |
| Organization Name | FLORIDA RETINA AND VITREOUS CENTER |
| Practice Address |
4624 Halder Ln Orlando FL 32814-6435 |
| Practice Telephone | 4078977470 |
| Practice Fax Number | 4078977473 |
| Mailing Telephone | 4078977470 |
| Mailing Fax Number | 4078977473 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | ROBERT J KRAUT (OWNER) |
| Authorized Official Telephone | 4078977470 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME76040 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DB6442 | 01 |
| FL | AETNA | 7746537 | 01 |
| Street Address |
4624 HALDER LN |
| City | ORLANDO |
| State | FL |
| Zip Code | 32814-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306861687 | Robert Jay Kraut | Ophthalmology | 4624 Halder Ln, Orlando, FL 32814-6435 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979353 | Kristen R. Weick | Counselor | 1384 Lake Baldwin Ln, Suite B, Orlando, FL 32814 | 2018-07-26 |
| 1376822056 | Teresa Ann Baker | Audiologist | 1460 Lake Baldwin Ln Apt A, Orlando, FL 32814 | 2011-08-11 |
| 1811120843 | Carolina Teresa Diaz | Counselor | 4225 Fox St. Part 209, Orlando, FL 32814 | 2009-08-25 |
| 1639337231 | Physician Associates LLC | Family Medicine | 855 Outer Road, Physician Associates LLC, Orlando, FL 32814 | 2008-05-30 |
| 1598881369 | Yong Chen | Preventive Medicine | 2433 Lake Baldwin Lane, Orlando, FL 32814 | 2007-03-22 |
| 1285661660 | William Bruna Dunn Iv | Dentist | 950 Lake Baldwin Lane, Orlando, FL 32814 | 2006-06-28 |
| 1295776326 | Wanita Sue Patterson | Nurse Practitioner | 871 Outer Road Unit D, Orlando, FL 32814 | 2006-06-09 |
| 1780663252 | Juan J Herran | Internal Medicine | 1697 Lake Baldwin Ln, Orlando, FL 32814 | 2006-01-12 |
| 1275038085 | Kayla Marie Mannion | Behavior Technician | 907 Outer Rd Ste B, Orlando, FL 32814 | 2018-03-26 |
| 1891295127 | Tiffany Marie Rubio | Midwife | 867 Outer Rd Ste A, Orlando, FL 32814 | 2018-02-13 |
| Find all providers in zip 32814 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| 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.