MS. CRYSTAL DEJESUS (NPI# 1063775765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063775765 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL DEJESUS |
| Other Name | CRYSTAL DEJESUS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
2285 S Semoran Blvd Orlando FL 32822-2703 |
| Mailing Address |
1917 Boothe Cir Longwood FL 32750-6708 |
| Practice Telephone | 4072828200 |
| Practice Fax Number | 4072828019 |
| Mailing Telephone | 4076793337 |
| Mailing Fax Number | 4076787246 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106616 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PA9106616 | 01 |
| Street Address |
2285 S SEMORAN BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114904208 | Gabrielle Olivella | Medical Genetics, Ph.D. Medical Genetics | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2005-12-29 |
| 1023520442 | Charis Juanita Cyr | Nurse Practitioner | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2017-10-25 |
| 1023481025 | Julie Bavin | Nurse Practitioner | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2015-11-12 |
| 1477930741 | Gabriela Montes Aldana | Internal Medicine | 2285 S Semoran Blvd, Orlando, FL 32822 | 2015-05-06 |
| 1467721811 | Dioben Augusto Aquino De La Cruz | Internal Medicine | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2011-12-14 |
| 1609014109 | Rossie E Bonefont | Nutritionist | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2009-01-22 |
| 1972776037 | Family Physicians Rx Inc | Pharmacy | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2008-04-10 |
| 1437189479 | Maggie Rosadomartinez | Internal Medicine | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2006-07-04 |
| 1659308807 | Family Physicians of Winter Park, Inc. | Internal Medicine | 2285 S Semoran Blvd, Orlando, FL 32822-2703 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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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.