CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A (NPI# 1639396765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639396765 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A |
| Other Organization Name | KATHLEEN W. JUDGE, MD, PA |
| Practice Address |
700 E Michigan St Orlando FL 32806-4624 |
| Practice Telephone | 4074812620 |
| Practice Fax Number | 4079927700 |
| Mailing Telephone | 4074812620 |
| Mailing Fax Number | 4079927700 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. KATHLEEN W. JUDGE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4074812620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME72700 | LA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Kathleen W. Judge, MD, PA | Former Legal Business Name - Organization |
| Street Address |
700 E MICHIGAN ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215991310 | Caridad Lopez | Physician Assistant | 700 E Michigan St, Orlando, FL 32806-4624 | 2006-04-14 |
| 1093331985 | Camila Yepes | Physician Assistant | 700 E Michigan St, Orlando, FL 32806-4624 | 2020-06-17 |
| 1427474584 | Johanna Espenschied | Physician Assistant | 700 E Michigan St, Orlando, FL 32806-4624 | 2014-03-13 |
| 1922318641 | Chelsea Marianne Mathis | Physician Assistant | 700 E Michigan St, Orlando, FL 32806-4624 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| 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.