CLERMONT RADIOLOGY LLC (NPI# 1003328642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003328642 |
| Entity Type | Organization |
| Organization Name | CLERMONT RADIOLOGY LLC |
| Other Organization Name | CLERMONT RADIOLOGY-KINGS RIDGE |
| Practice Address |
3725 South Highway 27 Suite 104 Clermont FL 34711 |
| Mailing Address |
Po Box 593869 Orlando FL 32859-3869 |
| Practice Telephone | 3522416100 |
| Practice Fax Number | 3522416101 |
| Mailing Telephone | 3522416100 |
| Mailing Fax Number | 3522416101 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | MR. ROBERT S. KOLB (PRESIDENT/CEO) |
| Authorized Official Telephone | 7708331456 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLERMONT RADIOLOGY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clermont Radiology-Kings Ridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1033426622 | Clermont Radiology LLC | Clinic/Center | 871 Oakley Seaver Drive, Clermont, FL 34711 | 2010-09-03 |
| 1982619417 | Clermont Radiology LLC | Physiological Laboratory | 1804 Oakley Seaver Blvd, Suite B, Clermont, FL 34711-1925 | 2006-07-31 |
| Street Address |
3725 SOUTH HIGHWAY 27 SUITE 104 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033426622 | Clermont Radiology LLC | Clinic/Center | 871 Oakley Seaver Drive, Clermont, FL 34711 | 2010-09-03 |
| 1831200211 | Advanced Imaging Center of Clermont, Inc. | Clinic/Center | 262 Mohawk Rd, Clermont, FL 34715-7433 | 2006-08-31 |
| 1881838670 | Advanced Imaging Center of Leesburg,llc | Clinic/Center | 262 Mohawk Rd, Clermont, FL 34715-7433 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| 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.