ORANGE BLOSSOM WOMEN'S GROUP PLLC (NPI# 1740704014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740704014 |
| Entity Type | Organization |
| Organization Name | ORANGE BLOSSOM WOMEN'S GROUP PLLC |
| Practice Address |
2043 Little Rd Trinity FL 34655-4421 |
| Practice Telephone | (727) 846-7000 |
| Practice Fax Number | 7274408211 |
| Mailing Telephone | 7278467000 |
| Mailing Fax Number | 7274408211 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | DR. REUT BARDACH (OWNER) |
| Authorized Official Telephone | 7278467000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME111975 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2043 LITTLE RD |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972567329 | Judith Ann Koster | Physician Assistant | 2043 Little Rd, Trinity, FL 34655 | 2006-04-13 |
| 1437630530 | Orange Blossom Surgical Associates | Physician Assistant | 2043 Little Rd, Trinity, FL 34655-4421 | 2018-08-27 |
| 1891183158 | Sara Stevens | Nurse Practitioner | 2043 Little Rd, Trinity, FL 34655-4421 | 2015-01-08 |
| 1780950527 | Reut Bardach | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655 | 2012-03-27 |
| 1346534948 | Kavita Desai Khanijow | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655-4421 | 2011-06-01 |
| 1922280460 | Karin Kae Stanton | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655-4421 | 2007-11-27 |
| 1245439793 | Krista Bennett | Nurse Practitioner | 2043 Little Rd, Trinity, FL 34655 | 2007-07-15 |
| 1336359975 | Melinda L Graham | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655-4421 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1538464102 | Giovanni Ricardo Jubiz | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 101&102, Trinity, FL 34655-1788 | 2011-01-12 |
| 1598788168 | Jenny Lynn Buck | Obstetrics & Gynecology | 9332 State Road 54 Ste 406, Trinity, FL 34655-1810 | 2006-07-25 |
| 1952321903 | Arleigh I Ancheta | Obstetrics & Gynecology | 8145 Cerebellum Way, Suite 101 & 102, Trinity, FL 34655-1788 | 2006-07-20 |
| 1376906099 | Shailja Thawani Dayal | Obstetrics & Gynecology | 2044 Trinity Oaks Blvd Ste 215, Trinity, FL 34655-4406 | 2016-03-30 |
| 1780950527 | Reut Bardach | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655 | 2012-03-27 |
| 1922280460 | Karin Kae Stanton | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655-4421 | 2007-11-27 |
| 1336359975 | Melinda L Graham | Obstetrics & Gynecology | 2043 Little Rd, Trinity, FL 34655-4421 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
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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.