CENTRAL FLORIDA PHYSICIAN NETWORK LLC (NPI# 1932375193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932375193 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
| Practice Address |
200 N Mangoustine Ave Sanford FL 32771-1017 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 4078337415 |
| Practice Fax Number | 4078337416 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | JOHN MARK RODKEY (VP) |
| Authorized Official Telephone | 8505232117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | D03210 | 01 |
| FL | BCBS-FL | 35926 | 01 |
| FL | 000354800 | 05 |
| Street Address |
200 N MANGOUSTINE AVE |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947948 | Erik Darrell Schoenberg | Otolaryngology | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2005-07-26 |
| 1619298007 | Walter Schratt | Surgery | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2010-06-20 |
| 1174719413 | Franklin D Clontz II | Surgery | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2007-09-20 |
| 1225234404 | Integrated Community Oncology Network LLC | Radiology | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2007-06-25 |
| 1649217118 | The Neurohealth Sciences Center, LLC | Neurological Surgery | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1083696926 | Tenet Central Carolina Physicians Inc | Urology | 709 Wicker St, Ste B, Sanford, NC 27330-4142 | 2005-11-16 |
| 1629063474 | William Henry Purvis | Urology | 1139 Carthage St, Suite 110, Sanford, NC 27330-4111 | 2005-09-19 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1689855066 | Pinehurst Surgical Clinic Pa | Urology | 1135 Carthage St, Suite 109, Sanford, NC 27330-4162 | 2007-11-14 |
| 1841495769 | Brian Whitley | Urology | 709 Wicker St, Suite B, Sanford, NC 27330-4167 | 2007-06-20 |
| 1801991708 | Demosthenes Cagbalin Esporas | Urology | 1816 Doctors Dr, Sanford, NC 27330-5057 | 2006-09-14 |
| 1255302899 | Central Carolina Surgical, Pa | Urology | 1139 Carthage St, Suite 110, Sanford, NC 27330-4111 | 2006-01-31 |
| 1477541720 | Gonzalo Huaman | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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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.