UNIVERSITY OF CENTRAL FLORIDA (NPI# 1689877748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689877748 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CENTRAL FLORIDA |
| Other Organization Name | UCF STUDENT HEALTH SERVICES |
| Practice Address |
4098 Libra Dr Orlando FL 32816-3333 |
| Mailing Address |
Po Box 163333 Orlando FL 32816-3333 |
| Practice Telephone | 4078236000 |
| Practice Fax Number | 4078232099 |
| Mailing Telephone | 4078236000 |
| Mailing Fax Number | 4078232099 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | MR. MICHAEL G DEICHEN (DIRECTOR) |
| Authorized Official Telephone | 4078236000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Other Name | Type Code |
|---|---|
| UCF Student Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1457982142 | University of Central Florida | Audiologist-Hearing Aid Fitter | 3280 Progress Drive, Orlando, FL 32826-2903 | 2020-01-31 |
| 1386176097 | University of Central Florida | Clinic/Center | 4111 Pictor Ln, Psychology Bldg. 99; Rm. 203, Orlando, FL 32816-8032 | 2017-03-31 |
| 1295975308 | University of Central Florida | Clinical Medical Laboratory | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2009-03-02 |
| 1104066216 | University of Central Florida | Family Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817 | 2009-03-02 |
| 1568497527 | University of Central Florida | Speech-Language Pathologist | 12424 Research Pkwy, Suite 155, Orlando, FL 32826-2215 | 2006-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES, THE | 4000 Central Florida Blvd, Orlando, FL 32816-8005 |
| Oklahoma Business Registrations | UNIVERSITY OF CENTRAL FLORIDA FOUNDATION, INCORPORATED | 12424 Research Pkwy Ste 140, Orlando, FL 32826 |
| Street Address |
4098 LIBRA DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32816-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295725786 | Steven Meyer | Family Medicine | 4098 Libra Dr, Orlando, FL 32816-3333 | 2005-10-26 |
| 1316446107 | Preetinder Wilkhu | Dietitian, Registered | 4098 Libra Dr, Orlando, FL 32816-8026 | 2018-02-07 |
| 1679072771 | Astrid Volpert | Dietitian, Registered | 4098 Libra Dr, Orlando, FL 32816-8026 | 2018-02-05 |
| 1235677071 | Monica Lugo Isola | Mechanotherapist | 4098 Libra Dr, Room 114, Orlando, FL 32816-8026 | 2017-02-01 |
| 1174067235 | Jaimie Casino-lim | Counselor | 4098 Libra Dr, Orlando, FL 32816-3333 | 2016-12-08 |
| 1942744016 | James Collier Shepard | Counselor | 4098 Libra Dr, Orlando, FL 32816-3333 | 2016-12-08 |
| 1497119556 | Kelly R Johnson | Counselor | 4098 Libra Dr, Orlando, FL 32816-3333 | 2016-04-05 |
| 1477910131 | Sheila Klausner | Physical Therapist | 4098 Libra Dr, Suite 114, Orlando, FL 32816-8026 | 2016-01-25 |
| 1255728077 | Priyanka Badhwar | Psychiatry & Neurology | 4098 Libra Dr, Orlando, FL 32816-8026 | 2015-04-20 |
| 1619371937 | Jonathan Wright Decker | Nurse Practitioner | 4098 Libra Dr, Orlando, FL 32816-3333 | 2014-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1396259867 | Logan T Mahlock | Specialist/Technologist | 4364 Scorpius St, Orlando, FL 32816 | 2017-11-20 |
| 1609398064 | Micaela Breann Ward | Student in an Organized Health Care Education/Training Program | 4266 West Plaza Drive, Orlando, FL 32816 | 2017-07-07 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1891330262 | Karly Branch | Psychologist | 4090 Libra Dr Ucf Counseling & Psychological Services, Orlando, FL 32816-0001 | 2019-11-08 |
| 1164994885 | Amie R Newins | Psychologist | 4111 Pictor Lane Psychology Building Suite 320, Orlando, FL 32816-0001 | 2018-12-19 |
| 1942795489 | Alexandra Carvajal | Specialist/Technologist | 4000 Central Blvd, Orlando, FL 32816-0001 | 2018-06-27 |
| 1427579069 | Zya'nel Moorehead-mckie | Student in an Organized Health Care Education/Training Program | 4000 University Blvd, Orlando, FL 32816-0001 | 2017-07-05 |
| 1275072142 | Diane Gail Meadows | Nurse Practitioner | 4800 Central Florida Blvd, Orlando, FL 32816-0001 | 2017-02-13 |
| 1497819577 | Glenn Earl Gaborko Jr. | Physician Assistant | University of Central Florida Student Health Services, Building 127, Orlando, FL 32816-0001 | 2006-12-21 |
| Find all providers in zip 32816 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1821619263 | Matthew Robin | Student in an Organized Health Care Education/Training Program | 10135 Brandon Cir, Orlando, FL 32836-3712 | 2020-04-27 |
| 1669092292 | Daniel Duybinh Nguyen | Student in an Organized Health Care Education/Training Program | 10030 Dean Chase Blvd, Orlando, FL 32825-4850 | 2020-04-23 |
| 1326668229 | Zachary Thomas Felsberg | Student in an Organized Health Care Education/Training Program | 3113 Eagle Blvd, Orlando, FL 32804-3703 | 2020-04-21 |
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1447889159 | Zoe Rocke | Student in an Organized Health Care Education/Training Program | 3849 Township Square Blvd Apt 823, Orlando, FL 32837-5386 | 2020-04-04 |
| 1114556800 | Ronald Bosco Benard Saborio | Student in an Organized Health Care Education/Training Program | 121 Glowing Peace Ln, Orlando, FL 32824-6141 | 2020-04-03 |
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1760010565 | Noeline Mukawera Ndwaniye | Student in an Organized Health Care Education/Training Program | 12012 Lake Cypress Cir Apt C304, Orlando, FL 32828-7069 | 2020-03-29 |
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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.