PHYSICIAN NEXT DOOR, LLC (NPI# 1568716645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568716645 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN NEXT DOOR, LLC |
| Practice Address |
1834 N Alafaya Trl Ste C Orlando FL 32826-4743 |
| Practice Telephone | 9418700199 |
| Practice Fax Number | 9418700203 |
| Mailing Telephone | 9418700199 |
| Mailing Fax Number | 9418700203 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MR. GABRIEL NURIEL (AUTHORIZED OFFICIAL / SHAREHOLDER) |
| Authorized Official Telephone | 9418700199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS7691 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | HM571A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114336740 | Physician Next Door, LLC | Family Medicine | 1834 N Alafaya Trl, Suite C, Orlando, FL 32826-4743 | 2014-08-07 |
| Street Address |
1834 N ALAFAYA TRL STE C |
| City | ORLANDO |
| State | FL |
| Zip Code | 32826-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001425 | Tlc Pediatric & Adolescent Medicine, P.a. | Pediatrics | 1834 N Alafaya Trl, Suite A, Orlando, FL 32826-4743 | 2006-07-08 |
| 1801337738 | Sarah Matthews | Nurse Practitioner | 1834 N Alafaya Trl, Suite A, Orlando, FL 32826-4743 | 2017-03-11 |
| 1700273000 | Home Physicians Group P.a. | Family Medicine | 1834 N Alafaya Trl, Ste A, Orlando, FL 32826-4743 | 2015-04-24 |
| 1851791651 | Eugena Watson-johnson | Nurse Practitioner | 1834 N Alafaya Trl, Orlando, FL 32826-4743 | 2014-08-28 |
| 1114336740 | Physician Next Door, LLC | Family Medicine | 1834 N Alafaya Trl, Suite C, Orlando, FL 32826-4743 | 2014-08-07 |
| 1114070570 | Juan Jose Gonzalez | Internal Medicine | 1834 N Alafaya Trl, Suite A, Orlando, FL 32826-4743 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
| 1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
| 1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
| 1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
| 1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
| 1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
| 1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
| 1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
| Find all providers in zip 32826 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265784144 | Pascasio L Lopez-padilla | Family Medicine | 7000 Kelly Rd, Orlando, FL 32831-2518 | 2012-10-03 |
| 1134395288 | Kenya Maria Rivas Velasquez | Family Medicine | 2501 N Orange Ave Ste 235, Orlando, FL 32804-4659 | 2008-05-07 |
| 1659588325 | Elizabeth Gaye Rosen | Family Medicine | 6000 Turkey Lake Rd Ste 209, Orlando, FL 32819-4206 | 2007-05-16 |
| 1578609756 | Charles Noyes | Family Medicine | 7600 Internation Dr, Orlando, FL 32819 | 2007-01-29 |
| 1144269127 | Marilyn Gail Lajoie | Family Medicine | 5911 Turkey Lake Rd, Suite #205, Orlando, FL 32819-4220 | 2006-06-06 |
| 1417501040 | Advent Health & Wellness Center, LLC | Family Medicine | 1410 N Pine Hills Rd, Orlando, FL 32808-4408 | 2019-07-31 |
| 1861990954 | Orlando Medical Clinic & Chiropractic Center, Inc. | Family Medicine | 6900 Silver Star Rd Ste 210, Orlando, FL 32818-3140 | 2018-01-24 |
| 1447701529 | Francee Brody | Family Medicine | 1802 Kuhl Ave Ste 103, Orlando, FL 32806-2004 | 2016-10-24 |
| 1700273000 | Home Physicians Group P.a. | Family Medicine | 1834 N Alafaya Trl, Ste A, Orlando, FL 32826-4743 | 2015-04-24 |
| 1588899553 | Christopher Mitchell Smith | Family Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2009-05-20 |
| 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.