KYLE M. CROFOOT, M.D., P.A. (NPI# 1679729271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679729271 |
| Entity Type | Organization |
| Organization Name | KYLE M. CROFOOT, M.D., P.A. |
| Practice Address |
1400 Hillcrest St Orlando FL 32803-4709 |
| Practice Telephone | 4078944330 |
| Practice Fax Number | 4078944340 |
| Mailing Telephone | 4078944330 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | KYLE M. CROFOOT (OWNER) |
| Authorized Official Telephone | 4078944330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME43757 | FL | Ambulatory Health Care Facilities |
| Street Address |
1400 HILLCREST ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941280 | Central Florida Anesthesia Services LLC | Clinic/Center | 110 W Underwood St Ste B, Orlando, FL 32806-1139 | 2019-03-14 |
| 1720335839 | Howard Eugene Gross | Clinic/Center | 8612 S Bay Dr, Orlando, FL 32819-4947 | 2012-08-08 |
| 1073874145 | Omnicare Medical Center Inc | Clinic/Center | 1805 W Colonial Dr, Suite A, Orlando, FL 32804-7013 | 2012-06-05 |
| 1982860482 | Ear Nose and Throat Specialists of St Cloud LLC | Clinic/Center | 7575 Dr. Phillips Blvd, Suite 10, Orlando, FL 32819-7221 | 2008-08-04 |
| 1972766244 | Wellness Chiropractic Care Center | Clinic/Center | 9521 S. Orange Blossom Trl, Ste102, Orlando, FL 32837 | 2008-07-08 |
| 1669672044 | A. R. Copely, Jr, Pa | Clinic/Center | 1455 Holden Ave, Orlando, FL 32839-1702 | 2007-07-23 |
| 1598252090 | Regenerative Sport Spine and Spa | Clinic/Center | 10920 Moss Park Rd Ste 218, Orlando, FL 32832-6087 | 2018-04-19 |
| 1053760181 | Medsurg Healthcare Services, LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-06-09 |
| 1033499280 | Advanced Cardiac Screening, Pllc | Clinic/Center | 13000 Avalon Lake Dr, Suite 100, Orlando, FL 32828-6434 | 2011-08-19 |
| 1598087231 | Women's Healthcare of Orlando, Pa | Clinic/Center | 3701 Avalon Park West Blvd, Suite 230, Orlando, FL 32828-7303 | 2010-02-22 |
| 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.