DOCTORS AT HOME TRI COUNTY (NPI# 1497168173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497168173 |
| Entity Type | Organization |
| Organization Name | DOCTORS AT HOME TRI COUNTY |
| Practice Address |
11954 Narcoossee Rd Ste 2 #504 Orlando FL 32832-6998 |
| Practice Telephone | 8009251840 |
| Practice Fax Number | 8005219406 |
| Mailing Telephone | 8009251840 |
| Mailing Fax Number | 8005219406 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | RAFAEL GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 4074218553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | ISUN3 | 01 |
| FL | 015701100 | 05 |
| Street Address |
11954 NARCOOSSEE RD STE 2 #504 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832-6998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| Find all providers in zip 32832 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228668 | Urgent Family Clinic, LLC | Clinic/Center | 1130 S Semoran Blvd Ste F, Orlando, FL 32807-1457 | 2018-03-12 |
| 1326541897 | Urgent Family Clinic, LLC | Clinic/Center | 11601 S Orange Blossom Trl Ste 101, Orlando, FL 32837-9437 | 2018-03-12 |
| 1134620792 | Lotus Family Health LLC | Clinic/Center | 1803 Park Center Dr Ste 111, Orlando, FL 32835-6216 | 2018-02-27 |
| 1487190609 | Bones Medical Group | Clinic/Center | 8288 Lee Vista Blvd Ste A, Orlando, FL 32829-8071 | 2017-01-11 |
| 1568833093 | Advantage Medical Group LLC | Clinic/Center | 1111-b S Semoran Blvd, Orlando, FL 32807-1480 | 2015-10-09 |
| 1700209400 | Orange Ave Consulting | Clinic/Center | 2106 N Orange Ave, Orlando, FL 32804-5535 | 2014-01-31 |
| 1750621538 | Florida Family Physicians | Clinic/Center | 2840 N Hiawassee Rd, Suite 428, Orlando, FL 32818-3319 | 2013-02-15 |
| 1629322755 | Growing Together Pediatrics, LLC | Clinic/Center | 5164 S. Conway Rd, Orlando, FL 32819-1252 | 2012-10-26 |
| 1558622068 | Gutteridge Jeancharles, Md, Pa | Clinic/Center | 6388 Silver Star Rd Ste 2h, Orlando, FL 32818-3235 | 2012-05-31 |
| 1922398023 | Community Health Centers, Inc | Clinic/Center | 19108 E Colonial Drive, Orlando, FL 32820 | 2011-04-11 |
| 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.