MAGIC MEDICAL SPECIALTIES CORP (NPI# 1588282776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588282776 |
| Entity Type | Organization |
| Organization Name | MAGIC MEDICAL SPECIALTIES CORP |
| Practice Address |
9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 |
| Practice Telephone | 4076012527 |
| Practice Fax Number | 4076747640 |
| Mailing Telephone | 4076012527 |
| Mailing Fax Number | 4076747640 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | LARRY DE JESUS (OWNER) |
| Authorized Official Telephone | 7865181911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9421 S Orange Blossom Trl # 19, Orlando, FL 328378320 | 4076012527 | 4076747640 |
| Street Address |
9421 S ORANGE BLOSSOM TRL # 19 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1962987610 | Advanced Neurotherapeutics LLC | Psychiatry & Neurology | 8624 Lee Vista Blvd Ste C, Orlando, FL 32829-8310 | 2018-09-28 |
| 1235613209 | Neurolect Associates, LLC | Psychiatry & Neurology | 10623 Boca Pointe Dr, Orlando, FL 32836-5853 | 2018-09-17 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1952687832 | Neurology & Neurodiagnostic Consultants | Psychiatry & Neurology | 2909 N Orange Avenue, Suite 109, Orlando, FL 32804 | 2011-10-24 |
| 1427179860 | Yassar Chakfe | Psychiatry & Neurology | 4359 Hunters Park Ln, Orlando, FL 32837 | 2007-04-03 |
| 1770667164 | Herbert Bruce Newton | Psychiatry & Neurology | 2501 N Orange Ave Ste 286, Orlando, FL 32804-4675 | 2006-10-24 |
| 1548206618 | John W. Kevill | Psychiatry & Neurology | 615 E Princeton Street, Suite 540, Orlando, FL 32803-1424 | 2006-06-20 |
| 1396792024 | Ronald G Davis | Psychiatry & Neurology | 7485 Sandlake Commons Blvd, Orlando, FL 32819 | 2006-05-28 |
| 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.