DR. JOSEPHINE RACIMO ESTAMPADOR TAN (NPI# 1003807868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003807868 |
| Entity Type | Individual |
| Full Name | DR. JOSEPHINE RACIMO ESTAMPADOR TAN |
| Credential | M.D |
| Practice Address |
1125 N Central Ave Kissimmee FL 34741-4405 |
| Practice Telephone | 4079311887 |
| Practice Fax Number | 4079312056 |
| Mailing Telephone | 4079311887 |
| Mailing Fax Number | 4079312056 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 60270 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371692900 | 05 | |
| FL | BCBS PROVIDER ID # | 14049 | 01 |
| FL | CIGNA PROVIDER ID # | 1290808 | 01 |
| FL | WELLCARE PROVIDER ID # | 173108 | 01 |
| FL | AVMED PROVIDER ID # | 270637 | 01 |
| Street Address |
1125 N CENTRAL AVE |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396857876 | Gail W. Allen | Social Worker | 1125 N Central Ave, Kissimmee, FL 34741-4405 | 2006-08-31 |
| 1962493122 | Physical Medicine & Rehab Center Pa | Specialist | 1125 N Central Ave, Kissimmee, FL 34741-4405 | 2005-11-04 |
| 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 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396292215 | Keri Michelle Baker | Specialist | 1200 N Central Ave Ste 110, Kissimmee, FL 34741-4439 | 2016-09-08 |
| 1457702425 | Ivps of Kissimmee | Specialist | 201 Ruby Ave Ste C, Kissimmee, FL 34741-5699 | 2016-06-30 |
| 1396192175 | Pete Josol | Specialist | 1316 Santa Rosa Dr Apt 304, Kissimmee, FL 34741-7576 | 2016-05-20 |
| 1104298553 | Luz Perez | Specialist | 301 Drum Ln, Kissimmee, FL 34759-4877 | 2015-10-26 |
| 1346646106 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 3014 Michigan Ave, Kissimmee, FL 34744-1542 | 2014-11-06 |
| 1598160269 | Jessica Lebron | Specialist | 720 W Oak St Ste 380, Kissimmee, FL 34741-4910 | 2014-10-23 |
| 1477814366 | Linda Coll | Specialist | 2855 Running Brook Cir, Kissimmee, FL 34744-9313 | 2012-06-06 |
| 1548549009 | Injury Medical Group, Inc | Specialist | 1020 Mann St, Kissimmee, FL 34741-4121 | 2011-08-15 |
| 1972806628 | Advantacare of Florida, LLC | Specialist | 435 West Oak Street, Kissimmee, FL 34741 | 2010-12-17 |
| 1598097511 | Nerve Savers Associates, LLC | Specialist | 485 Rio Grande Way, Kissimmee, FL 34759-4612 | 2010-02-01 |
| Find all providers in KISSIMMEE | ||||
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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.