DR. SERGIO S CERVANTES (NPI# 1720212244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720212244 |
| Entity Type | Individual |
| Full Name | DR. SERGIO S CERVANTES |
| Credential | MD |
| Practice Address |
13535 Nemours Pkwy Orlando FL 32827-7402 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974127 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | DR.0055533 | CO | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 43315 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
ME134358 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 19676336 | 05 | |
| WY | 142108500 | 05 | |
| FL | 023371000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 S Orange Ave Ste 100, Orlando, FL 328062946 | 4076507000 | 4075675924 |
| 2055 High Street, Ste 110, Denver, CO 802055504 | 3033019019 | 3038616254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255771085 | Sergio Cervantes | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2013-06-25 |
| Street Address |
13535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454924 | Mary Bratovich Toth | Internal Medicine | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2005-08-21 |
| 1619597424 | Sarah Mullinax | Social Worker | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2020-04-22 |
| 1255976734 | Aubrei Blumberg | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1770128258 | Zindia Figueroa | Nurse Anesthetist, Certified Registered | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1871135632 | Erin Armstrong | Registered Nurse | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-10-14 |
| 1699322677 | Daisy Jareidy Ocasio | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1720635709 | Tatiana Paola Lozada | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1144876772 | Ashley Patricia Shuler | Behavioral Analyst | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-09 |
| 1730731415 | Julio Cesar Patino Legge | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| 1215589098 | Candace Marie Deluca | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457588071 | David Zaboli | Otolaryngology | 1507 S Hiawassee Rd, Orlando, FL 32835 | 2009-06-22 |
| 1932261252 | Cedric V Pritchett | Otolaryngology | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2006-12-14 |
| 1902915762 | Cheryl S Cotter | Otolaryngology | 1507 S Hiawassee Rd, Suite 103, Orlando, FL 32835-5718 | 2006-08-29 |
| 1619086477 | James R Kosko | Otolaryngology | 1507 S Hiawassee Rd, Suite 103, Orlando, FL 32835-5718 | 2006-08-29 |
| 1427167287 | James David Moser | Otolaryngology | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2006-08-29 |
| 1477519692 | Julie L Wei | Otolaryngology | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389962 | Pediatric Ent of Southwest Florida Pllc | Otolaryngology | 19 Georgetown, Fort Myers, FL 33919-1088 | 2014-05-21 |
| 1508002072 | Pediatric Ent, LLC | Otolaryngology | 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 | 2009-01-05 |
| 1285888396 | Yamilet Tirado | Otolaryngology | 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 | 2008-11-17 |
| 1295928380 | Aiysha C Balbosa | Otolaryngology | 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | 2007-08-22 |
| 1801002100 | Kyle Leslie Bressler | Otolaryngology | 6754 Stonegate Dr, Naples, FL 34109-7224 | 2007-05-15 |
| 1114011707 | Karin Swisher Hotchkiss | Otolaryngology | 5105 N Armenia Ave, Tampa, FL 33603-1405 | 2006-10-03 |
| 1568554400 | Scott Brietzke | Otolaryngology | 1131 N 35th Ave Ste 300, Hollywood, FL 33021 | 2006-09-29 |
| 1669573028 | Kathleen M Wasylik | Otolaryngology | 601 5th St. South, #701, St Petersburg, FL 33701 | 2006-09-26 |
| 1801902739 | Saswata Roy | Otolaryngology | 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 | 2006-08-22 |
| 1275588303 | Daniel L Wohl | Otolaryngology | 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 | 2006-05-24 |
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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.