DR. SOPHIE THIBAULT (NPI# 1922487685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922487685 |
| Entity Type | Individual |
| Full Name | DR. SOPHIE THIBAULT |
| Credential | M.D. |
| Practice Address |
2200 Fowler Grove Blvd Ste 220 Winter Garden FL 34787-5597 |
| Practice Telephone | 4076460042 |
| Practice Fax Number | 4076560633 |
| Mailing Telephone | 4076460042 |
| Mailing Fax Number | 4076560633 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME132235 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2200 FOWLER GROVE BLVD STE 220 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-5597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013729 | Anita Vijay Moorjani | Pediatrics | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787 | 2007-01-29 |
| 1881206266 | Chantal Marie Soobhanath | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2020-08-18 |
| 1154939379 | Melinda Diandra Chance | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2020-07-14 |
| 1497363675 | Lyndsay Victoria Kotarba | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2020-07-14 |
| 1780201681 | Caio Fabio Nociti Freitas | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2020-06-26 |
| 1245890128 | Barbara Ximenes Braz | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2019-06-13 |
| 1588126981 | Philip Jay Mendez Frayre | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2019-04-03 |
| 1942761200 | Marlene Fernandez | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2019-03-28 |
| 1801356233 | Monica Janine Cortes Lee | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2019-03-21 |
| 1477013811 | Feras Talha Hares | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912417288 | Physician Associates LLC | Pediatrics | 4020 Winter Garden Vineland Rd, Winter Garden, FL 34787-9502 | 2017-10-02 |
| 1447505961 | Kid Md Pediatrics LLC | Pediatrics | 13848 Tilden Rd, Suite 230, Winter Garden, FL 34787-5326 | 2012-07-20 |
| 1518233873 | Tiffany Rachal Tamse | Pediatrics | 15502 Stoneybrook West Pkwy Ste 2-108, Winter Garden, FL 34787-4767 | 2012-03-30 |
| 1376794883 | Pamela Ponce | Pediatrics | 17000 Porter Rd Ste 208, Winter Garden, FL 34787-8915 | 2008-10-02 |
| 1619013729 | Anita Vijay Moorjani | Pediatrics | 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787 | 2007-01-29 |
| 1992875579 | Carlos Humberto Ocampo | Pediatrics | 424 N Dillard St, Winter Garden, FL 34787-2817 | 2006-11-09 |
| 1386606879 | Rhonda M Elton | Pediatrics | 2020 Daniels Rd Ste A, Winter Garden, FL 34787-4975 | 2006-04-03 |
| 1710972492 | Stacy A Mcconkey | Pediatrics | 15502 Stoneybrook West Pkwy, Suite 2-108, Winter Garden, FL 34787-4767 | 2005-09-19 |
| 1881025351 | Physician Associates LLC | Pediatrics | 3724 Winter Garden Vineland Rd, Winter Garden, FL 34787-5483 | 2013-12-09 |
| 1952602286 | Advanced Pediatrics | Pediatrics | 3712 Winter Garden Vineland Rd, Winter Garden, FL 34787-5483 | 2010-11-03 |
| Find all providers in WINTER GARDEN | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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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.