PHYSICIAN SERVICES OF FLORIDA LLC (NPI# 1942689138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942689138 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN SERVICES OF FLORIDA LLC |
| Practice Address |
200 E Marks St Orlando FL 32803-3819 |
| Mailing Address |
3113 Lawton Rd Ste 250 Orlando FL 32803-3517 |
| Practice Telephone | 4074805986 |
| Mailing Telephone | 4074805986 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | MR. CASEY DELOACH (MANAGER) |
| Authorized Official Telephone | 8888298550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | PHC059 | 01 |
| Street Address |
200 E MARKS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922087295 | Michael A Middleton | Pediatrics | 200 E Marks St, Orlando, FL 32803-3819 | 2006-01-13 |
| 1225583677 | Lauren Collins | Nurse Practitioner | 200 E Marks St, Orlando, FL 32803-3819 | 2016-08-15 |
| 1437544947 | Briana Poley Mclain | Nurse Practitioner | 200 E Marks St, Orlando, FL 32803-3819 | 2015-04-01 |
| 1912328964 | Michael A. Middleton, M.d., P.a. | Pediatrics | 200 E Marks St, Orlando, FL 32803-3819 | 2013-12-18 |
| 1396011128 | Lauren Nicole Freeman | Nurse Practitioner | 200 E Marks St, Orlando, FL 32803-3819 | 2012-03-27 |
| 1083753412 | Christine R May | Nurse Practitioner | 200 E Marks St, Orlando, FL 32803-3819 | 2007-02-05 |
| 1417032988 | Lorena Merani Acosta | Pediatrics | 200 E Marks St, Orlando, FL 32803-3819 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484336 | Rw Family Practice & Preventive Care, LLC. | Family Medicine | 6735 Conroy Rd Ste 418, Orlando, FL 32835-3566 | 2020-07-20 |
| 1750906855 | Ashleigh Kittel | Family Medicine | 646 W Smith St Unit 506, Orlando, FL 32804-5383 | 2020-06-15 |
| 1962031633 | Annuel Lebrun | Family Medicine | 5317 Curry Ford Rd Apt K202, Orlando, FL 32812-7209 | 2020-04-05 |
| 1427699610 | Orlando Wellness | Family Medicine | 2909 N Orange Ave Ste 112a, Orlando, FL 32804-4639 | 2019-09-30 |
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1649820267 | Florida Advanced Primary, Urgent & Holistic Medicine LLC | Family Medicine | 8931 Heritage Bay Cir, Orlando, FL 32836-5026 | 2019-09-16 |
| 1023664968 | Vera Lee Ahmad | Family Medicine | 18731 Sabal St, Orlando, FL 32833-5268 | 2019-08-15 |
| 1457912081 | Adventist Health System/sunbelt, Inc. | Family Medicine | 9637 Lake Nona Village Pl, Orlando, FL 32827-7319 | 2019-06-25 |
| 1639737273 | Adedeji A Onitiri | Family Medicine | 11750 E Colonial Dr Ste 100, Orlando, FL 32817-4656 | 2019-05-29 |
| 1962068783 | Health & Wellness Place | Family Medicine | 7363 W Colonial Dr, Orlando, FL 32818-6507 | 2019-05-16 |
| Find all providers in ORLANDO | ||||
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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.