MEDICAL VENTURES OF AMERICA (NPI# 1073576146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073576146 |
| Entity Type | Organization |
| Organization Name | MEDICAL VENTURES OF AMERICA |
| Other Organization Name | LAKE REGIONAL URGENT CARE |
| Practice Address |
8404 Us Highway 441 Leesburg FL 34788-4016 |
| Practice Telephone | 3523158881 |
| Mailing Telephone | 3523151651 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | RAYMOND DOMINICK (OWNER) |
| Authorized Official Telephone | 3523158881 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266435600 | 05 | |
| FL | MEDICARE CLIA # | 10D1004910 | 01 |
| FL | BLUE GRP PROV # | 34537 | 01 |
| FL | BLUE SHIELD FACILITY # | B902B | 01 |
| Other Name | Type Code |
|---|---|
| LAKE REGIONAL URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053869487 | Medical Ventures of America | Legal Medicine | 16890 Us Highway 441, Mount Dora, FL 32757-6705 | 2016-09-14 |
| 1265631519 | Medical Ventures of America | Clinic/Center | 910 Old Camp Rd, Prof Bldg 114, The Villages, FL 32162-5604 | 2007-07-17 |
| 1043261415 | Medical Ventures of America | Clinic/Center | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-12 |
| Street Address |
8404 US HIGHWAY 441 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194799569 | Raymond D Dominick | Emergency Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-02-14 |
| 1245757327 | Nicole Carter | Nurse Practitioner | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2017-08-29 |
| 1043261415 | Medical Ventures of America | Clinic/Center | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-12 |
| 1629028832 | Christina Proud | Internal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174712939 | Timothy J Pirnat M.d. Inc | Legal Medicine | 12980 Sabina Rd, Leesburg, OH 45135-9578 | 2007-10-17 |
| 1467418319 | Leesburg Family Medicine | Legal Medicine | 802 E Dixie Ave, Leesburg, FL 34748-6014 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074561 | Joy Harris | Legal Medicine | 1950 Se Port St Lucie Blvd Ste 217, Port St Lucie, FL 34952-5579 | 2018-02-26 |
| 1386016137 | International Spine Center | Legal Medicine | 1310 Gulf Blvd Apt 2g, Clearwater, FL 33767-2859 | 2015-10-20 |
| 1639579923 | Duclos Dessalines | Legal Medicine | 4519 Lake Worth Rd, Greenacres, FL 33463-3449 | 2014-08-25 |
| 1679908867 | New Smyrna Pain & Injury Clinic | Legal Medicine | 421 N Causeway, New Smyrna Beach, FL 32169-5266 | 2013-09-06 |
| 1568710853 | Fmb Medical LLC | Legal Medicine | 7205 Estero Blvd Ste 733, Fort Myers Beach, FL 33931-4779 | 2012-08-17 |
| 1699047159 | Lazaro A Cabrera | Legal Medicine | 5575 Sw 77th Ct Apt 204b, Miami, FL 33155-4318 | 2012-01-30 |
| 1891074084 | Wellmed Medical Center | Legal Medicine | 9621 Bird Rd, Miami, FL 33165-4030 | 2011-08-05 |
| 1528377603 | William M. Escoffery | Legal Medicine | 300 Harbor Blvd Ste C, N/a, Destin, FL 32541-2370 | 2010-10-06 |
| 1538478086 | Nob Hill Medical Center, Inc. | Legal Medicine | 10098 W Mcnab Rd, Tamarac, FL 33321-1895 | 2010-10-01 |
| 1780992644 | Daniel Hunt II | Legal Medicine | 2160 Anchor Ave, Deland, FL 32720-2382 | 2010-09-14 |
| 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.