MARCELINO MEDEROS RODRIGUEZ (NPI# 1720434210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720434210 |
| Entity Type | Individual |
| Full Name | MARCELINO MEDEROS RODRIGUEZ |
| Credential | M.D |
| Practice Address |
12150 Seminole Blvd Largo FL 33778-2833 |
| Mailing Address |
14690 Spring Hill Dr Ste 305 Spring Hill FL 34609-8102 |
| Practice Telephone | 7272166188 |
| Practice Fax Number | 7272166242 |
| Mailing Telephone | 3522775348 |
| Mailing Fax Number | 3526062857 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME138465 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12150 SEMINOLE BLVD |
| City | LARGO |
| State | FL |
| Zip Code | 33778-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251061 | Mayra L Lorenzo | Family Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2005-08-04 |
| 1629450093 | Cynthia Denisse Cortes | Internal Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2015-06-22 |
| 1477930501 | Edel Alvarez Galban | General Practice | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2015-04-27 |
| 1730581331 | Yolanda E Lorenzo | Nurse Practitioner | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2014-09-25 |
| 1285981829 | Cornelia Bolgehn | Nurse Practitioner | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2012-08-14 |
| 1629395827 | Jacqueline Belisle | Nurse Practitioner | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2010-04-27 |
| 1780828186 | Mayra Lorenzo M.d Pa | Internal Medicine | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571775 | Patricia Ann Mitchell | Hearing Instrument Specialist | Florida Medical Hearing Center, 10825 102nd Avenue North-ste 312, Seminole, FL 33778 | 2019-04-10 |
| 1376037432 | Fresh Start Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste C, Largo, FL 33778 | 2018-06-21 |
| 1275059685 | Sharetta Lanor Ingram-patterson | Counselor | 11365 111th Avenue, Largo, FL 33778 | 2017-08-17 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1972961274 | Yudith Liriano Gonzalez | Registered Nurse | 12150 Seminole Blvd Ste 111, Largo, FL 33778 | 2016-02-02 |
| 1528347309 | Kenneth Eran Rosher | Assisted Living Facility | 1617 Madrid Drive, Largo, FL 33778 | 2011-08-10 |
| 1609987817 | Jennifer Roco Paulmino Dds Prof Dental Pa | Dentist | 10333 Seminole Blvd Ste 7, Largo, FL 33778 | 2006-08-31 |
| 1871533893 | Kenneth Tsu-ching Yen | Internal Medicine | 11200 Seminole Blvd Ste 306, Largo, FL 33778 | 2006-06-07 |
| 1841706926 | 1 Care LLC | Respite Care | 12945 Seminole Blvd, Suite 12, Largo, FL 33778 | 2017-12-27 |
| 1558765388 | Melodie Ann Hammer Wakefield | Chiropractor | 12122 Seminole Blvd, Largo, FL 33778 | 2014-10-22 |
| Find all providers in zip 33778 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1588998488 | Village Family Practice | Family Medicine | 8250 Bryan Dairy Rd Ste 300, Largo, FL 33777-1356 | 2009-09-24 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| 1841470952 | Gabriel A Decandido Pa | Family Medicine | 8005 Ulmerton Rd, Largo, FL 33771-3971 | 2007-11-06 |
| 1255530382 | Jaimie Louise Mickey | Family Medicine | 13117 66th St, Largo, FL 33773-1812 | 2007-07-18 |
| 1881801140 | Moneer M. Mansour,md.pa | Family Medicine | 8787 Bryan Dairy Rd Ste 330, Largo, FL 33777-1260 | 2007-05-17 |
| 1194858969 | Snyder Family Medicine Pa | Family Medicine | 1042 Belcher Rd S, Largo, FL 33771-3316 | 2007-03-13 |
| 1801926001 | Kirsten Lea Cooper | Family Medicine | 13220 Starkey Rd Ste 500, Largo, FL 33773-1446 | 2007-03-06 |
| 1467515221 | Sun Coast Hospital Inc | Family Medicine | 1559 Indian Rocks Rd S, Largo, FL 33770-4542 | 2006-12-19 |
| Find all providers in LARGO | ||||
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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.