ROBERTO RAFAEL BALDASSARRE (NPI# 1730673062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730673062 |
| Entity Type | Individual |
| Full Name | ROBERTO RAFAEL BALDASSARRE |
| Credential | MPAS |
| Practice Address |
3293 Greenwald Way N Kissimmee FL 34741-0772 |
| Practice Telephone | 8018602925 |
| Mailing Telephone | 8018602925 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 Howland Blvd, Deltona, FL 32738 | 3865320515 |
| Street Address |
3293 GREENWALD WAY N |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-0772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942438932 | Gustavo Sosa | Family Medicine | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 | 2009-06-29 |
| 1598281792 | Adventist Health System/sunbelt, Inc. | Family Medicine | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262514 | Vineland Medical Care LLC | Physician Assistant | 1319 E Vine St, Kissimmee, FL 34744-3642 | 2014-03-12 |
| 1144560442 | Amy Jensen | Physician Assistant | 222 Broadway Unit 301, Kissimmee, FL 34741-5767 | 2013-02-22 |
| 1013261643 | Ernest Rinaldi | Physician Assistant | 410 Celebration Pl Ste 106, Kissimmee, FL 34747-5432 | 2012-11-05 |
| 1578542627 | Joseph E Proctor | Physician Assistant | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2006-01-16 |
| 1144860032 | Sundus Rahman | Physician Assistant | 102 Park Place Blvd Ste 3, Kissimmee, FL 34741-2358 | 2020-01-08 |
| 1427692292 | Christopher Joseph Carniglia | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-11-04 |
| 1356990253 | Ruben Dario Morillo | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-09-04 |
| 1417496522 | Lumary Matos | Physician Assistant | 931 W Oak St Ste 103, Kissimmee, FL 34741-4973 | 2017-02-22 |
| 1467995803 | Robert Bennett | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-12-01 |
| 1780126839 | Brian Pulayya | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-11-07 |
| Find all providers in KISSIMMEE | ||||
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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.