DR. PAUL MICHAEL DESROSIERS (NPI# 1073566840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073566840 |
| Entity Type | Individual |
| Full Name | DR. PAUL MICHAEL DESROSIERS |
| Credential | MD. |
| Practice Address |
60 W Gore St 2nd Floor Orlando FL 32806-1114 |
| Practice Telephone | 3218413303 |
| Practice Fax Number | 3218413305 |
| Mailing Telephone | 3218413303 |
| Mailing Fax Number | 3218413305 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME25684 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 47666 | 01 |
| FL | MEDICAL LICENSE | ME25684 | 01 |
| FL | 069451700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379042 | Paul M Desrosiers | Radiology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-03-14 |
| Street Address |
60 W GORE ST 2ND FLOOR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567525 | Jonathan Ogilvie Partain | Internal Medicine | 60 W Gore St, Orlando, FL 32806-1141 | 2005-06-08 |
| 1689130197 | Gracie Barresi | Dietitian, Registered | 60 W Gore St, Orlando, FL 32806-1141 | 2019-02-20 |
| 1164909149 | Edwin Mejia Ortega | Nurse Practitioner | 60 W Gore St, Orlando, FL 32806-1141 | 2018-07-23 |
| 1356888648 | Cortney Jon Skepko | Nurse Practitioner | 60 W Gore St, Orlando, FL 32806-1141 | 2017-01-24 |
| 1790147874 | Jenelle Fernandez | Student in an Organized Health Care Education/Training Program | 60 W Gore St, Orlando, FL 32806-1141 | 2016-03-28 |
| 1386025856 | Laura Eileen Irastorza | Pediatrics | 60 W Gore St, Orlando, FL 32806 | 2015-06-10 |
| 1538567821 | Tamara Sims-dorway | Dietitian, Registered | 60 W Gore St, Orlando, FL 32806-1141 | 2014-12-18 |
| 1619374873 | Kati Joseph | Genetic Counselor, MS | 60 W Gore St, 2nd Floor, Orlando, FL 32806-1141 | 2014-12-03 |
| 1477955540 | Akash Pandey | Pediatrics | 60 W Gore St, Orlando, FL 32806-1141 | 2014-09-20 |
| 1356783955 | Brenda Cardenas | Nurse Practitioner | 60 W Gore St, Orlando, FL 32806-1141 | 2013-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376652131 | Mauri Carakushansky | Pediatrics | 115 Columbia St, Suite B, Orlando, FL 32806-1046 | 2006-08-29 |
| 1427316462 | Neha Vyas | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827 | 2012-04-27 |
| 1639499122 | Shilpa Gurnurkar | Pediatrics | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2010-06-07 |
| 1538489299 | Penelope Pauley | Pediatrics | 89 W Copeland Dr Fl 2, Orlando, FL 32806-2002 | 2010-06-04 |
| 1629229174 | Jennifer Amelia Villar | Pediatrics | 60 W Gore St, Orlando, FL 32806-1141 | 2008-10-02 |
| 1821107681 | Richard A Banks | Pediatrics | 60 W Gore St, Orlando, FL 32806-1141 | 2006-08-29 |
| 1720197585 | Jorge J Daaboul | Pediatrics | 615 E Princeton Street, Suite 101, Orlando, FL 32803-1435 | 2006-08-29 |
| 1588677876 | Joshua H Yang | Pediatrics | 60 W Gore St, 2nd Floor, Orlando, FL 32806-1114 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
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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.