VASUDEVA R BOMMINENI (NPI# 1770576845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770576845 |
| Entity Type | Individual |
| Full Name | VASUDEVA R BOMMINENI |
| Credential | M.D. |
| Practice Address |
685 Palm Springs Dr Suite 1b Altamonte Springs FL 32701-7853 |
| Mailing Address |
807 S Orlando Ave Suite C Winter Park FL 32789-4870 |
| Practice Telephone | 4073394447 |
| Practice Fax Number | 4073396649 |
| Mailing Telephone | 4078944693 |
| Mailing Fax Number | 4075390469 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME0079940 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 269230 | 01 |
| FL | RAILROAD MEDICARE | P00184306 | 01 |
| FL | BCBS | 49866 | 01 |
| Street Address |
685 PALM SPRINGS DR SUITE 1B |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-7853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147875 | Mark E. Weigley | Family Medicine | 685 Palm Springs Dr, Suite 1a, Altamonte Springs, FL 32701-7853 | 2005-07-08 |
| 1942643325 | Mccranels Chiropractic LLC | Chiropractor | 685 Palm Springs Dr, 1c, Altamonte Springs, FL 32701-7853 | 2013-04-16 |
| 1700155157 | Palm Springs Integrative Center | Chiropractor | 685 Palm Springs Dr, Ste C1, Altamonte Springs, FL 32701-7853 | 2011-12-14 |
| 1497037337 | Luis Junco Noa | Internal Medicine | 685 Palm Springs Dr, Suite 2a, Altamonte Springs, FL 32701-7853 | 2011-09-16 |
| 1154646123 | Diane Elisabeth Stamp | Nurse Practitioner | 685 Palm Springs Dr, Suite 2a, Altamonte Springs, FL 32701-7853 | 2010-04-02 |
| 1043534670 | Mark E. Weigley, M.d., P.a. | Family Medicine | 685 Palm Springs Dr, Suite 1a, Altamonte Springs, FL 32701-7853 | 2010-03-25 |
| 1497087241 | Terry L Boutty | Nurse Practitioner | 685 Palm Springs Dr, Ste 2a, Altamonte Springs, FL 32701-7853 | 2010-02-04 |
| 1306177498 | Allison Tucci | Nurse Practitioner | 685 Palm Springs Dr, Suite 2a, Altamonte Springs, FL 32701-7853 | 2010-01-29 |
| 1972758845 | Kristin L Woolard | Nurse Practitioner | 685 Palm Springs Dr, Suite 2a, Altamonte Springs, FL 32701-7853 | 2008-11-19 |
| 1912153057 | Alexander Velazquez | Internal Medicine | 685 Palm Springs Dr, Suite 2a, Altamonte Springs, FL 32701-7853 | 2008-08-08 |
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|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1790009165 | Renal Access of Central Florida LLC | Internal Medicine | 337 S Northlake Blvd, Suite 1002, Altamonte Springs, FL 32701-5264 | 2010-03-15 |
| 1033195839 | Fuad Afzal | Internal Medicine | 631 Palm Springs Dr, Suite 104, Altamonte Springs, FL 32701-7854 | 2005-12-22 |
| 1245752583 | Kidney Care Associates, LLC | Internal Medicine | 661 E Altamonte Dr Ste 213, Altamonte Springs, FL 32701 | 2017-07-07 |
| 1346503794 | Lifeline Vascular Center Orlando LLC | Internal Medicine | 337 S Northlake Blvd, Suite 1002, Altamonte Springs, FL 32701-5264 | 2012-06-20 |
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| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
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| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
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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.