M.ATIQ HESSAMI,M.D.,P.A. (NPI# 1033438759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033438759 |
| Entity Type | Organization |
| Organization Name | M.ATIQ HESSAMI,M.D.,P.A. |
| Practice Address |
33425 E Lake Joanna Dr Eustis FL 32736-7249 |
| Practice Telephone | 3522235244 |
| Mailing Telephone | 3522235244 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | DR. MIRATIQULLAH HESSAMI (PRESIDENT) |
| Authorized Official Telephone | 3522235244 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
P02000071278 | FL | Ambulatory Health Care Facilities |
| Street Address |
33425 E LAKE JOANNA DR |
| City | EUSTIS |
| State | FL |
| Zip Code | 32736-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077573 | Miratiqullah Hessami | Internal Medicine | 33425 E Lake Joanna Dr, Eustis, FL 32736-7249 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568831964 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 24420 Sr 44, Eustis, FL 32736 | 2015-09-16 |
| 1114323888 | Cheryl Baylis | Early Intervention Provider Agency | 37328 N County Road 44a, Eustis, FL 32736 | 2014-11-07 |
| 1225387228 | Terryl Christina Chandler | Speech-Language Pathologist | 3173 0ak Brook Lane, Eustis, FL 32736 | 2012-09-05 |
| 1528315355 | Aging Concepts, LLC | Home Health | 3759 Blue Crown Ln, Eustis, FL 32736-2249 | 2012-08-10 |
| 1114474806 | Pinnacle Therapy Services | Speech-Language Pathologist | 3173 Oak Brook Ln, Eustis, FL 32736-2265 | 2016-09-09 |
| 1740761345 | Tamra Ann Crawford | Speech-Language Pathologist | 19341 Spring Oak Dr, Eustis, FL 32736-7214 | 2018-08-22 |
| 1184732109 | Brian Francis Liebersbach | Internal Medicine | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2006-08-29 |
| 1588851562 | Brian F Liebersbach Md Phd Pa | Hospitalist | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2007-10-03 |
| 1184973224 | Michele O'donnell | Behavioral Analyst | 19611 Spring Oak Dr, Eustis, FL 32736-7275 | 2012-09-05 |
| 1053630996 | Edward Donald Mcdade Jr. | Pathology | 19045 Lake Swatara Dr, Eustis, FL 32736-7709 | 2010-05-18 |
| Find all providers in zip 32736 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619166568 | S.a.c. Primary Care LLC | Clinic/Center | 2000 Prevatt St, Suite B2, Eustis, FL 32726-6149 | 2007-10-17 |
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| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
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| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
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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.