Michael T Siino (NPI# 1518957984, PAC ID# 5890963748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518957984 |
| PAC ID by PECOS | 5890963748 |
| Professional Enrollment ID | I20110719000691 |
| Full Name | Michael T Siino |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
7605 Conroy Windermere Rd Orlando FL 32835-2646 |
| Phone Number | 3217328150 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 8634676767 | WATERS EDGE DERMATOLOGY LLC |
| 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 | 3217328150 | WATERS EDGE DERMATOLOGY LLC |
| 3002 17th St, Saint Cloud, FL 34769-6011 | 3217664072 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Jodie Schmidt | Nurse Practitioner | Waters Edge Dermatology LLC | 22411 Hwy 27, Lake Wales, FL 33859-6861 |
| Street Address |
7605 CONROY WINDERMERE RD |
| City | ORLANDO |
| State | FL |
| Zip | 32835-2646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie L Seide-justin | Optometry | 6601 Old Winter Garden Rd, Suite 104, Orlando, FL 32835-1370 | |
| Amy S Barton | Nurse Practitioner | Family Physicians of Winterpark Inc | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 |
| Sabrina P Gmerek Pettus | Nurse Practitioner | Family Physicians of Winterpark Inc | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 |
| Nicole Anita Bridgman | Nurse Practitioner | Family Physicians of Winterpark Inc | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 |
| Candon D Norton | Clinical Psychologist | 5900 Westgate Dr, Orlando, FL 32835-2002 | |
| Nicholas G Bagnoli | Pain Management | 3869 Winderlakes Dr, Orlando, FL 32835-2625 | |
| Ronald S Sonken | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 7933 Chad Ct, Orlando, FL 32835-2635 |
| Glenn D Behrman | Chiropractic | 7601 Conroy Windermere Rd, Suite 204, Orlando, FL 32835-2688 | |
| Scott S Posgai | Family Medicine | Physician Associates LLC | 7479 Conroy Windermere Rd, Suite A, Orlando, FL 32835-2771 |
| Gary Francis Wright | Nurse Practitioner | 8927 Conroy Windermere Rd, Orlando, FL 32835-3127 | |
| Find all physicians in zip 32835 | |||
| City | ORLANDO |
| Zip Code | 32835 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORLANDO + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.