JOSEPH E PROCTOR (NPI# 1578542627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578542627 |
| Entity Type | Individual |
| Full Name | JOSEPH E PROCTOR |
| Credential | PA |
| Practice Address |
2551 Boggy Creek Rd Kissimmee FL 34744-3806 |
| Practice Telephone | 4073480990 |
| Mailing Telephone | 4073480990 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2013-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9103407 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497287007 | Joseph William Proctor | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2017-04-02 |
| 1790707172 | Joseph Charles Proctor Sr. | Emergency Medicine | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2006-07-24 |
| Street Address |
2551 BOGGY CREEK RD |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508299298 | Rodolfo E. Aldir, M.d., P.a. | Internal Medicine | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2013-08-16 |
| 1134491244 | Michael Jack Ulm | Physician Assistant | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2012-02-04 |
| 1194940684 | Fmcm, Incorporated | Clinic/Center | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2007-04-17 |
| 1134263510 | Rose Marie Celestin | Physician Assistant | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2007-02-18 |
| 1497770408 | Bvl Family Practice and Specialty Center, Inc | Clinic/Center | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2006-07-12 |
| 1417972456 | Joseph Spizzirri | Physician Assistant | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262514 | Vineland Medical Care LLC | Physician Assistant | 1319 E Vine St, Kissimmee, FL 34744-3642 | 2014-03-12 |
| 1144560442 | Amy Jensen | Physician Assistant | 222 Broadway Unit 301, Kissimmee, FL 34741-5767 | 2013-02-22 |
| 1013261643 | Ernest Rinaldi | Physician Assistant | 410 Celebration Pl Ste 106, Kissimmee, FL 34747-5432 | 2012-11-05 |
| 1144860032 | Sundus Rahman | Physician Assistant | 102 Park Place Blvd Ste 3, Kissimmee, FL 34741-2358 | 2020-01-08 |
| 1427692292 | Christopher Joseph Carniglia | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-11-04 |
| 1356990253 | Ruben Dario Morillo | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-09-04 |
| 1730673062 | Roberto Rafael Baldassarre | Physician Assistant | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 | 2018-06-20 |
| 1417496522 | Lumary Matos | Physician Assistant | 931 W Oak St Ste 103, Kissimmee, FL 34741-4973 | 2017-02-22 |
| 1467995803 | Robert Bennett | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-12-01 |
| 1780126839 | Brian Pulayya | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-11-07 |
| 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.