INTEAM HEALTH INC (NPI# 1639791601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639791601 |
| Entity Type | Organization |
| Organization Name | INTEAM HEALTH INC |
| Practice Address |
11977 S Apopka Vineland Rd Orlando FL 32836-7025 |
| Mailing Address |
10849 Emerald Chase Dr Orlando FL 32836-5881 |
| Practice Telephone | 4077826281 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | SHEIKH K JASIMUDDIN (DIRECTOR) |
| Authorized Official Telephone | 4077826281 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEAM HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 280949400 | 05 |
| Other Name | Type Code |
|---|---|
| InTeAM Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346510 | Inteam Health Inc | Clinic/Center | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-27 |
| Street Address |
11977 S APOPKA VINELAND RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32836-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596517 | Inteem Health | Case Management | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-10 |
| 1194346510 | Inteam Health Inc | Clinic/Center | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416969 | Evelyn Yomara Varela | Behavior Technician | 11476 S Apopka Vineland Road, Suite 118, Orlando, FL 32836 | 2018-11-13 |
| 1174098354 | Joshua Arias | Specialist/Technologist | 12500 S Apopka Vineland Road, Lake Buena Vista, FL 32836 | 2018-10-04 |
| 1477045383 | Nelida Ivette Gonzalez | Behavior Technician | Brighter Journeys LLC, 8600 Sand Lake Shores Dr, Orlando, FL 32836 | 2018-06-06 |
| 1578051041 | Paul Woodrow Potier IIi | Chiropractor | Mobile Service, Orlando, FL 32836 | 2018-04-30 |
| 1710437926 | Fraazinc LLC | Podiatrist | 9019 Southern Breeze Drive, Orlando, FL 32836 | 2016-10-12 |
| 1013256700 | Inder Patel | Internal Medicine | 8295 Ludington Cir, Orlando, FL 32836 | 2013-01-31 |
| 1750643334 | Sabrina Sutton | Behavior Technician | 11476 S Apopka Vineland Rd Ste 118, Orlando, FL 32836 | 2012-06-11 |
| 1871863340 | Thu Nguyen | Pharmacist | 8207 Palazzo Ct., Orlando, FL 32836 | 2011-12-30 |
| 1114216074 | Carly J Resnick | Counselor | 8134 Jozee Cir, Orlando, FL 32836 | 2011-03-31 |
| 1093028631 | Pamela Jiselle Blade | Optometrist | 9001 Taborfield Ave., Suite 101, Orlando, FL 32836 | 2010-07-25 |
| Find all providers in zip 32836 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225694953 | Good Care Rehab& Wellness Inc | Emergency Medicine | 885 N Powers Dr Ste B, Orlando, FL 32818-6842 | 2019-05-17 |
| 1063663573 | Megan F Crider | Emergency Medicine | 86 W Underwood St, Suite 200, Orlando, FL 32806-1110 | 2008-10-02 |
| 1346368024 | Jesse A Caron | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2007-03-27 |
| 1215003272 | Katia Marie Lugo | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-11-28 |
| 1497868400 | Kellee J Shea | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-08-16 |
| 1962410639 | Julie J Kirchoff | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-08-04 |
| 1073539730 | Amabel-jovan Chua Cabatu | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-07-14 |
| 1346287406 | Herbert P Cooper IIi | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-05-31 |
| 1003888678 | Ramon H Nunez | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-02-07 |
| 1558341180 | Edgardo Rodriguez | Emergency Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-01-19 |
| 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.