JAI HO (NPI# 1609321454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609321454 |
| Entity Type | Organization |
| Organization Name | JAI HO |
| Other Organization Name | SAND LAKE MEDICAL WALK IN CLINIC |
| Practice Address |
1650 Sand Lake Rd Suite 112a Orlando FL 32809-7681 |
| Practice Telephone | 3212891951 |
| Mailing Telephone | 4072861829 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | KANTILAL BHALANI (PHYSICIA) |
| Authorized Official Telephone | 4072861829 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | JAI HO MALABAR MEDICAL WALK IN CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
ME39710 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016834700 | 05 | |
| FL | NPI NUMBER | 1609321454 | 01 |
| Other Name | Type Code |
|---|---|
| Sand Lake Medical Walk In Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | JAI HO CORPORATION | 201 Pleasant St, Gardner, MA 01440 |
| Oregon Corporations, Companies and Business Names | JAI HO CREATIONS | 17680 Nw Autumn Ridge Dr, Beaverton, OR 97006 |
| Massachusetts Corporations | JAI HO ENTERPRISES, INC. | 45 Endean Drive, East Walpole, MA 02032 |
| Massachusetts Corporations | JAI HO GROUP INC | 418 W Central St, Franklin, MA 02038 |
| Washington State Corporations | JAI HO OUTREACH | 3501 S 38th St #109, Tacoma, WA 98409 |
| Washington State Corporations | JAI HO TV INC | 3809 Se 184th Ct, Vancouver, WA 98683-8232 |
| New York State Corporations | JAI HOLDINGS INC. | 37 Bowers Street, Massena, New York 13662 |
| Virginia Business Entities | JAI Holdings LLC | 1934 Old Gallows Road, Suite 350, Tysons Corner, Virginia 22182 |
| Oregon Corporations, Companies and Business Names | JAI HOSPITALITIES, INC. | 411 East Barnett Road, Medford, OR 97501 |
| New York State Corporations | JAI HOSPITALITY, LTD. | 3912 Vineyard Drive, Dunkirk, Ny 14048 |
| Street Address |
1650 SAND LAKE RD SUITE 112A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-7681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144382854 | William K. Fravel | Dentist | 1650 Sand Lake Rd, #116, Orlando, FL 32809-7681 | 2006-12-16 |
| 1518464064 | Karen Carter | Registered Nurse | 1650 Sand Lake Rd, Orlando, FL 32809-7681 | 2018-04-11 |
| 1154660447 | Bpm Imaging LLC | Clinic/Center | 1650 Sand Lake Rd, Suite 105, Orlando, FL 32809-7681 | 2013-02-06 |
| 1083958714 | Oral Hygiene Center LLC | Dentist | 1650 Sand Lake Rd, Ste 106, Orlando, FL 32809-7681 | 2012-11-19 |
| 1447559570 | Sand Lake Rehab & Wellness Center Inc | Clinic/Center | 1650 Sand Lake Rd, Ste. 255, Orlando, FL 32809-7681 | 2011-03-15 |
| 1215267646 | Copia Health Care, LLC | Home Health | 1650 Sand Lake Rd, Suite 270, Orlando, FL 32809 | 2010-01-07 |
| 1629293253 | Arif Zaman | Dentist | 1650 Sand Lake Rd, Suite 106, Orlando, FL 32809-7681 | 2007-04-17 |
| 1225151699 | Orange Home Health Agency, Inc. | Home Health | 1650 Sand Lake Rd, Suite 212, Orlando, FL 32809-7681 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508975566 | Hector Delfin Barreto-samalot | Internal Medicine | 2205 E Michigan St, Orlando, FL 32806-4944 | 2006-08-30 |
| 1689684730 | Luis F Barroso | Internal Medicine | 1002 N Semoran Blvd, Orlando, FL 32807 | 2006-08-09 |
| 1558726257 | W Sand Lake Medical Group LLC | Internal Medicine | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1710359716 | New Choice Healthcare Group | Internal Medicine | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2015-10-29 |
| 1518140425 | Hanley Pain and Rehabilitation Center Inc | Internal Medicine | 5979 Vineland Rd, Suite 209, Orlando, FL 32819-7800 | 2007-12-13 |
| 1275752131 | Health and Recovery Institute of Central Florida | Internal Medicine | 2205 E Michigan St, Orlando, FL 32806-4944 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685411 | Mark Schellhammer LLC | Internal Medicine | 7151 University Blvd Ste 120, Winter Park, FL 32792-6724 | 2020-03-27 |
| 1619527157 | Amron Vitality and Wellness Center, LLC | Internal Medicine | 6339 Argyle Forest Blvd Ste 3, Jacksonville, FL 32244-6601 | 2019-09-17 |
| 1952769754 | R N Singh Enterprises Pllc | Internal Medicine | 11760 Lynmoor Dr, Riverview, FL 33579-7037 | 2016-02-08 |
| 1518360726 | Family Health Care of Delray, Inc. | Internal Medicine | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2014-10-01 |
| 1184043119 | Desert Rose Fl LLC | Internal Medicine | 835 Ardmore Rd, West Palm Beach, FL 33401-7631 | 2014-04-07 |
| 1265851299 | Clear Health of The Palm Beaches | Internal Medicine | 1095 Military Trl Unit 91, Jupiter, FL 33468-5005 | 2014-04-07 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1396182630 | Harp Diagnostics LLC | Internal Medicine | 2655 N Ocean Dr, 103, Riviera Beach, FL 33404-4751 | 2013-05-28 |
| 1861717514 | Fanuel Dorilas | Internal Medicine | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2010-04-06 |
| 1083846034 | Carol S. Rudolph | Internal Medicine | 4949 S Congress Ave Ste B, Lake Worth, FL 33461-4731 | 2009-08-10 |
| Find all providers with the same taxonomy | ||||
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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.