CENTRAL FLORIDA OTOLARYNGOLOGY PLLC (NPI# 1023384484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023384484 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA OTOLARYNGOLOGY PLLC |
| Practice Address |
410 Lionel Way Ste 202 Davenport FL 33837 |
| Practice Telephone | 8632256522 |
| Practice Fax Number | 8635829796 |
| Mailing Telephone | 8632256522 |
| Mailing Fax Number | 8635829796 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | DR. MENACHEM M STUART (OWNER) |
| Authorized Official Telephone | 8632256522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE MEDICAL LICENSE | ME112526 | 01 |
| Street Address |
410 LIONEL WAY STE 202 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486379 | Saiyed Aonali Mohib | Internal Medicine | 410 Lionel Way, Davenport, FL 33837-7809 | 2006-07-28 |
| 1629420922 | Heart of Florida Surgery Center LLC | Clinic/Center | 410 Lionel Way, Davenport, FL 33837-7809 | 2016-07-11 |
| 1649677592 | Elite Care of Central Florida Pllc | Internal Medicine | 410 Lionel Way, Suite 202, Davenport, FL 33837-7803 | 2014-11-20 |
| 1457790883 | Jadira Rose Santos | Nurse Practitioner | 410 Lionel Way, Davenport, FL 33837-7809 | 2013-06-19 |
| 1629334586 | Drashti Mahendra Gandhi | Family Medicine | 410 Lionel Way, Davenport, FL 33837-7809 | 2012-04-04 |
| 1700172210 | Trishanna Crystal Sookdeo | Family Medicine | 410 Lionel Way, 3rd Floor, Davenport, FL 33837 | 2011-06-22 |
| 1942475140 | Seth D Kaufman | Pain Medicine | 410 Lionel Way, Suite 201, Davenport, FL 33837-7809 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1124362066 | Gordon R Johnson D O P C | Otolaryngology | 3906 Lillie Ave, Suite 1, Davenport, IA 52806-4434 | 2012-11-15 |
| 1912977232 | Michael S Tomek | Otolaryngology | 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | 2006-01-26 |
| 1346229762 | Douglas W. Dvorak | Otolaryngology | 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | 2006-01-13 |
| 1215916168 | Ralph R Tyner | Otolaryngology | 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1154723666 | Howard Merson | Otolaryngology | 8571 Boca Glades Blvd W Apt A, Boca Raton, FL 33434-4045 | 2014-09-16 |
| 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.