DR. RHODERICK C NAZARIO (NPI# 1962466730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962466730 |
| Entity Type | Individual |
| Full Name | DR. RHODERICK C NAZARIO |
| Credential | M.D. |
| Practice Address |
1121 N Central Ave Suite B Kissimmee FL 34741-4405 |
| Practice Telephone | 4079331221 |
| Practice Fax Number | 4079330747 |
| Mailing Telephone | 4079331221 |
| Mailing Fax Number | 4079330747 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
84666 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
84666 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264756700 | 05 | |
| FL | AETNA PROVIDER ID | 7728680 | 01 |
| FL | UHC PROVIDER ID | 4800614 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 17116 | 01 |
| FL | AVMED PROVIDER ID | 285149 | 01 |
| FL | CIGNA PROVIDER ID | 3892967004 | 01 |
| Street Address |
1121 N CENTRAL AVE SUITE B |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645921 | Jose Antonio Urdaneta-jaimes | Internal Medicine | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2006-01-26 |
| 1629430707 | Rosita Rodriguez | Nurse Practitioner | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2016-03-28 |
| 1861877839 | Marilyn Frances Velez | Nurse Practitioner | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2015-07-20 |
| 1750719175 | Jonathan Gebhart | Nurse Practitioner | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2013-10-22 |
| 1275883456 | Zainab Syed | Internal Medicine | 1121 N Central Ave, Kissimmee, FL 34741-4405 | 2012-09-14 |
| 1245566546 | Heather Elaine Daniels | Nurse Practitioner | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2009-10-22 |
| 1598979700 | Susan Metcalf | Nurse Practitioner | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2007-05-09 |
| 1649484809 | Pulmonary Disease Specialists, Pa | Internal Medicine | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2007-05-09 |
| 1225144579 | Joseph Itodo Ameh | Internal Medicine | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2006-08-21 |
| 1396700803 | Thomas W O'brien | Internal Medicine | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2006-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639196728 | The Lung Clinic, P.a. | Internal Medicine | 1115 N Central Ave, Kissimmee, FL 34741-4405 | 2006-07-16 |
| 1801132386 | Pro Health Heritage Square LLC | Internal Medicine | 901 E Oak St, Suite A, Kissimmee, FL 34744-5837 | 2013-01-02 |
| 1316228364 | Florida Lung Asthma and Sleep | Internal Medicine | 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2011-09-05 |
| 1649484809 | Pulmonary Disease Specialists, Pa | Internal Medicine | 1121 N Central Ave, Suite B, Kissimmee, FL 34741-4405 | 2007-05-09 |
| 1275553398 | Muhammad K Shaukat | Internal Medicine | 1115 N Central Ave, Kissimmee, FL 34741-4405 | 2006-07-20 |
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| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
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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.